Pre-operative pregnancy testing (POPT) and the undiagnosed pregnancy rate in an elective gynaecology surgery population

Douglas, W.; Stacy, Kozak; Davis, Peter; H, Stephens Mary; Bonnie, Rainey; Kathy, VanVeen; Cathy, Williams; Kulvir, Badh; Susan, Folkersen

doi:10.15761/cogrm.1000112

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…Perform a urinary pregnancy test (with the woman’s consent) if there is any doubt 18 . Such screening is positive in up to 0.4% of tests and fulfils the criteria outlined in the ‘preoperative investigations’ section 30 …”

Section: Immediately Preoperative: Day Before and Day Of Surgerymentioning

confidence: 79%

“…18 Such screening is positive in up to 0.4% of tests and fulfils the criteria outlined in the 'preoperative investigations' section. 30…”

Section: Pregnancy Testingmentioning

confidence: 99%

“…coamoxiclav, at a dose of 2 g amoxicillin/1 g clavulanic acid). 2,25,30 For patients who are allergic to penicillins or cephalosporins, administer a combination of clindamycin and gentamicin, or a quinolone (e.g. ciprofloxacin).…”

Section: Class Examplesmentioning

confidence: 99%

“…Alternatively, similar broad‐spectrum coverage is achieved with intravenous amoxicillin plus a β‐lactamase inhibitor (e.g. co‐amoxiclav, at a dose of 2 g amoxicillin/1 g clavulanic acid) 2,25,30 . For patients who are allergic to penicillins or cephalosporins, administer a combination of clindamycin and gentamicin, or a quinolone (e.g.…”

Section: Intraoperative Managementmentioning

confidence: 99%

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Life in the laparoscopic fast lane: evidence‐based perioperative management and enhanced recovery in benign gynaecological laparoscopy

Bryant‐Smith¹,

As‐Sanie

Lloyd

et al. 2021

The Obstetric & Gynaecologis

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Enhanced recovery after surgery (ERAS) protocols aim to shorten the length of hospital stay and expedite recovery, without increasing complications or readmission rates. Implementation of ERAS protocols should be evidence-based, including when applied to pre-admission clinic (including preoperative investigations), fasting, antibiotic prophylaxis, thromboprophylaxis, analgesia, expeditious removal of urinary catheters and early mobilisation. Learning objectivesTo understand evidence-based perioperative management of patients undergoing laparoscopic procedures for benign gynaecological indications. To appraise critically the judicious ordering of preoperative investigations.To understand the importance of preoperatively assessing and managing each patient's risk of venous thromboembolism. To understand the key components of perioperative management that decrease surgical site infection(s). Ethical issuesPreoperative patient education is a vital component of perioperative management; written materials should be prepared in languages other than English to enable all patients to benefit from the ERAS approach. A balance must be found between applying ERAS protocols as a checklist to ensure all aspects of patient care have been considered and tailoring those protocols to each patient's individual needs.

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Section: Immediately Preoperative: Day Before and Day Of Surgerymentioning

confidence: 79%

“…18 Such screening is positive in up to 0.4% of tests and fulfils the criteria outlined in the 'preoperative investigations' section. 30…”

Section: Pregnancy Testingmentioning

confidence: 99%

Section: Class Examplesmentioning

confidence: 99%

Section: Intraoperative Managementmentioning

confidence: 99%

See 2 more Smart Citations

Life in the laparoscopic fast lane: evidence‐based perioperative management and enhanced recovery in benign gynaecological laparoscopy

Bryant‐Smith¹,

As‐Sanie

Lloyd

et al. 2021

The Obstetric & Gynaecologis

View full text Add to dashboard Cite

show abstract

“…[4] Authors reporting relatively higher incidence of positive pregnancy test had either small sample size or included exclusively those who are undergoing laparoscopic sterilisation or infertility treatment [Table 1]. [41213141516]…”

Section: Methodsmentioning

confidence: 99%

Preoperative pregnancy testing in surgical patients: How useful is policy of routine testing

2019

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Surgery in a patient with unrecognised pregnancy has serious ethical and medicolegal implications. There are no guidelines in India for preoperative pregnancy testing (POPT) in surgical patients. This review was undertaken to ascertain utility of routine POPT and whether any specific indication for POPT could be suggested. We performed a literature search to identify publications pertaining to POPT in surgical patients. Searches included PubMed, Google Scholar and internet search for national guidelines. Studies pertaining to incidence of unrecognised pregnancy, cost-effectiveness of POPT, effect of surgery and anaesthesia on pregnancy are included. We excluded articles which were available in languages other than English and those whose full texts were unavailable. Most of the literature about reproductive outcomes after anaesthesia exposure is based on old data. The evidence for teratogenic effect of anaesthetic drugs on human foetus is still inconclusive. Apart from anaesthesia and surgery, the outcome after surgery in unrecognised pregnant patient depends on other factors such as indication for surgery, high incidence of foetal loss in early pregnancy, stress and lifestyle of patient. As it is difficult to unsnarl the effect of these factors, POPT should be offered to all patients who based on history could be possibly pregnant. The cost-effectiveness of POPT appears doubtful, but considering costs associated with miscarriages and medicolegal litigations due to unclear association with anaesthesia, it may indeed be cost-effective.

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Is Routine Preoperative Pregnancy Testing Necessary?

Sundermann¹,

Onuoha²

2023

Evidence-Based Practice of Anesthesiology

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Pre-operative pregnancy testing (POPT) and the undiagnosed pregnancy rate in an elective gynaecology surgery population

Abstract: Background: Surgery in a female with an undiagnosed pregnancy has recognized teratogenic and disruptive embryo/fetal risks. What is the incidence of an undiagnosed pregnancy in females undergoing elective surgery in an urban hospital?

Cited by 3 publications

References 10 publications

Life in the laparoscopic fast lane: evidence‐based perioperative management and enhanced recovery in benign gynaecological laparoscopy

Life in the laparoscopic fast lane: evidence‐based perioperative management and enhanced recovery in benign gynaecological laparoscopy

Preoperative pregnancy testing in surgical patients: How useful is policy of routine testing

Is Routine Preoperative Pregnancy Testing Necessary?

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