The effect of non-obstetric invasive procedures during pregnancy on perinatal outcomes.

Abstract

PURPOSE:

To evaluate the effect of non-obstetric invasive procedure during pregnancy on perinatal outcome.

METHODS:

The present retrospective study investigated perinatal outcome in women that underwent an invasive procedure during one of their pregnancies (n = 61); perinatal outcome was compared to other pregnancies (without an invasive procedure) of the same patients (n = 122).

RESULTS:

Women with a non-obstetric invasive procedure during pregnancy delivered earlier than those in the comparison group (38.5 vs. 40.0 weeks; p = 0.01) and had a significantly higher rate of cesarean sections (18 vs. 5 cases; p < 0.01). In addition, birth weight was significantly lower in patients undergoing invasive procedures during pregnancy (2908.65 vs. 3185.84 gr; p = 0.02). The absolute rate of prematurity (<37 weeks) was non-significantly higher in the study group (18.3 vs. 10.0 %; p = 0.28).

CONCLUSION:

Non-obstetric invasive procedures are associated with an increased rate of cesarean sections and lower birth weight. Nevertheless, no significant differences in early perinatal outcome were found in comparison to other pregnancies of the same patients. More studies are needed to evaluate the outcome following specific procedures.

• Authors: Polina Schwarzman, Yael Baumfeld, Zehavi Bar-Niv, Joel Baron, Salvatore Andrea Mastrolia, Eyal Sheiner, Moshe Mazor, Reli Hershkovitz, Adi Yehuda Weintraub
• Journal: Archives of gynecology and obstetrics (Arch Gynecol Obstet) Vol. 292 Issue 3 Pg. 603-8 (Sep 2015) ISSN: 1432-0711 [Electronic] Germany
• PMID: 25804519 (Publication Type: Comparative Study, Evaluation Study, Journal Article)

Topics

• Adult
• Appendectomy (adverse effects)
• Birth Weight
• Cesarean Section (statistics & numerical data)
• Female
• Humans
• Infant, Low Birth Weight
• Infant, Newborn
• Israel (epidemiology)
• Maternal Mortality
• Multivariate Analysis
• Parturition
• Pregnancy
• Pregnancy Complications (mortality, surgery)
• Pregnancy Outcome (epidemiology)
• Retrospective Studies
• Risk
• Surgical Procedures, Operative (adverse effects, mortality)