Endoscopy in Pregnancy

Mitrut, Paul; Docea, Anca Oana; Calina, Daniela; LilianaStreba,

doi:10.5772/52550

Cited by 3 publications

(11 citation statements)

References 22 publications

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“…Group X medications demonstrate adverse effects in human pregnancies, the risk outweighing possible benefits, and are contraindicated during pregnancy. 6,33 Regardless of the category, each medication used during pregnancy should be carefully considered and the benefit should outweigh the risk of its use.…”

Section: Medications and The Pregnant Patientmentioning

confidence: 99%

“…Beyond 20 weeks of pregnancy, preferential positioning of the patient is in a left lateral decubitus position or with left pelvic tilt to minimize compression of the inferior vena cava (IVC) and aorta by the gravid uterus. 2,3,6 Electrocautery, if needed, requires careful planning so that the grounding pad and the cautery are not positioned across the uterus for the fear of conducting electricity through the amniotic fluid. 7 Patients undergoing IR procedures usually require analgesia with or without sedation.…”

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confidence: 99%

“…For example, swelling of the nasal mucosa can increase the risk of bleeding if nasal intubation is needed. 6 Diaphragmatic excursion is decreased due to the enlarged uterus along with an increase in ventilation related to the increased oxygen demands of pregnancy. 6 The overall blood volume increases as the pregnancy progresses, up to 40% above baseline toward the end of the pregnancy, mostly reflected by an increase in the volume of plasma.…”

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confidence: 99%

“…6 Diaphragmatic excursion is decreased due to the enlarged uterus along with an increase in ventilation related to the increased oxygen demands of pregnancy. 6 The overall blood volume increases as the pregnancy progresses, up to 40% above baseline toward the end of the pregnancy, mostly reflected by an increase in the volume of plasma. This increase in plasma decreases the concentration of water-soluble medications, resulting in a delay of the expected effects of medications such as meperidine.…”

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confidence: 99%

“…3 Fetal monitoring (confirmation of fetal heart beats) should performed in the latter first trimester and beyond immediately before and after the procedure to ascertain the wellness of the fetus. 6 In certain circumstances, such as high-risk pregnancy and higher levels of sedation/analgesia, continuous fetal monitoring during the procedure may be appropriate. In the authors' practice, any pregnant patient undergoing sedation receives a full obstetrical consult.…”

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confidence: 99%

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Challenges in Interventional Radiology: The Pregnant Patient

Moon

Wang

Newman

et al. 2013

Semin intervent Radiol

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A pregnant patient presenting to interventional radiology (IR) has a different set of needs from any other patient requiring a procedure. Often, the patient's care can be in direct conflict with the growth and development of the fetus, whether it be optimal fluoroscopic imaging, adequate sedation of the mother, or the timing of the needed procedure. Despite the additional risks and complexities associated with pregnancy, IR procedures can be performed safely for the pregnant patient with knowledge of the special and general needs of the pregnant patient, use of acceptable medications and procedures likely to be encountered during pregnancy, in addition to strategies to protect the patient and her fetus from the hazards of radiation.

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Section: Medications and The Pregnant Patientmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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