title: Preoperative preparation of pregnant women.
abstract: All the elective surgeries are to be avoided during pregnancy and pregnant women should undergo only emergency surgical interventions. Pregnancy is associated with different physiological changes in the organism, which should be taken into account in preparative preparation of the pregnant women. Expanded body fluid volume leads to dilutional anemia, however other hematological disorders may be present as well. Extreme obesity is a frequent comorbidity, while hypertension is associated with the highest risks since it may lead to a life-threatening complication--eclampsia. As for other coexisting diseases, urinary tract infections and gestational diabetes are the most common as well as hyperthyroidism and other diseases that may also develop. The type and severity of the acute surgical disease, extensiveness of the planned surgery as well as the type of planned anesthesia to be applied, occasionally necessitate, depending on the gestational age, termination of pregnancy to be considered. Gynecological-obstetric consultations are mandatory in all surgical interventions planned in pregnant women.
authors: Clinic for Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Sebia.
authors: Ivana
authors: I
authors: Likić-Ladjević
authors: Rajka
authors: R
authors: Argirović
authors: Sasa
authors: S
authors: Kadija
authors: Milica
authors: M
authors: Maksimović
authors: Biljana
authors: B
authors: Zivaljević
authors: Milan
authors: M
authors: Terzić
mesh_terms: D016640:Diabetes, Gestational / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006402:Hematologic Diseases / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000628:therapy*; D011300:Preoperative Care