The anaesthetic management of a woman with a 31-week abdominal pregnancy

Hughes, Simon M.; Goodyear, P; Sansome, A. J.

doi:10.1054/ijoa.2001.0855

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Diagnosis using an ultrasound, with clinical correlation has 50% estimated success rate [10]. An MRI scan is helpful in diagnosis [11], but is of limited use in an emergency. Hence, despite advances in technology, only 1 out of every 9 women who reached the hospital alive has an accurate preoperative diagnosis of abdominal pregnancy [1] and it was no different in our case, as it was diagnosed intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…General anesthesia is usually preferred when major intraoperative hemorrhage is anticipated. Hughes et al, described the anesthetic management of an abdominal pregnancy, diagnosed preoperatively, under general anesthesia [11]. With an anticipation of extensive blood loss, our anesthetic team was prepared to manage intraoperative hemorrhagic complications that would arise from undiagnosed abnormal placentation or uterine rupture needing emergent hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

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Anesthetic management of an undiagnosed advanced extrauterine pregnancy under combined spinal-epidural anesthesia

Kalava¹,

Mardakh²,

Weinberg³

et al. 2012

J Anesthesiol Clin Sci

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Advanced extrauterine (abdominal) pregnancy is extremely rare. Management of such a pregnancy invariably involves a laparotomy under general anesthesia and has never been reported to have been performed in its entirety under neuraxial anesthesia. We report a case of a 26-year-old multigravida who presented with severe abdominal pain at 32 weeks and 1 day gestational age and on laparotomy was found to have an undiagnosed extrauterine pregnancy. We believe this is the very first reported case of advanced extrauterine pregnancy, diagnosed at laparotomy, performed under combined spinal-epidural anesthesia and successfully managed in its entirety, without conversion to general anesthesia. The postoperative period was uneventful, with both mother and neonate being discharged 3 days after surgery. Through this case we discuss the management and outcome of this rare presentation performed successfully under neuraxial anesthesia.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Anesthetic management of an undiagnosed advanced extrauterine pregnancy under combined spinal-epidural anesthesia

Kalava¹,

Mardakh²,

Weinberg³

et al. 2012

J Anesthesiol Clin Sci

View full text Add to dashboard Cite

show abstract

Intrauterine pregnancy following abdominal pregnancy

Way

Goodyear

Hughes

2002

International Journal of Obstetric Anesthesia

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Successful Anesthetic Management in a Viable 26-week Extrauterine Abdominal Pregnancy

Placino,

Odi

2024

Philippine Journal of Anesthesiology

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Extrauterine abdominal pregnancies occur when the fertilized ovum implants directly into the peritoneal cavity. They are rare, with its incidence being just 1 in 10,000 live births worldwide, and only 0.43% of all documented ectopic pregnancies in the Philippines. This poses a challenge in anesthesia because of the risk of massive hemorrhage the abnormal implantation brings about. This case report presents the anesthetic management of a 29-year-old G3P2 (2002) diagnosed case of 26-week and 5-day gestation viable abdominal pregnancy who underwent abdominal fetal extraction under combined general and epidural anesthesia. Along with the utilization of a multidisciplinary approach, goal-directed fluid therapy, and massive transfusion protocol, this management has been shown to be successful and safe for both the mother and the fetus.

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The anaesthetic management of a woman with a 31-week abdominal pregnancy

Cited by 4 publications

References 11 publications

Anesthetic management of an undiagnosed advanced extrauterine pregnancy under combined spinal-epidural anesthesia

Anesthetic management of an undiagnosed advanced extrauterine pregnancy under combined spinal-epidural anesthesia

Intrauterine pregnancy following abdominal pregnancy

Successful Anesthetic Management in a Viable 26-week Extrauterine Abdominal Pregnancy

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