Can I Have Surgery During Pregnancy? Risks and Considerations - Orthopedics

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When it comes to the question of having surgery during pregnancy, there are several important factors to consider, especially given your specific circumstances of having a previous spinal injury and the recent discovery of your pregnancy.
First and foremost, it is crucial to consult with both your obstetrician and the surgeon who is responsible for your spinal care. They will be able to provide you with tailored advice based on your medical history, the specifics of your injury, and the current state of your pregnancy.

Risks of Surgery During Pregnancy
1. Fetal Risks: The primary concern with any surgery during pregnancy is the potential risk to the developing fetus. Generally, the first trimester is considered the most critical period for fetal development, and any surgical intervention during this time should be approached with caution. However, if surgery is necessary, the risks can often be managed with careful planning and monitoring.

2. Anesthesia Risks: The type of anesthesia used during the surgery can also pose risks. Certain anesthetics may have effects on fetal development, so it is essential to discuss the safest options with your anesthesiologist.

3. Infection and Complications: Any surgical procedure carries risks of infection and complications, which can be heightened during pregnancy. The body undergoes various changes during pregnancy that can affect healing and recovery.

4. Impact of Imaging Studies: You mentioned having undergone X-rays and CT scans prior to knowing you were pregnant. While these imaging techniques can expose the fetus to radiation, the risk is generally considered low, especially if the abdomen was shielded. However, it is still important to discuss these concerns with your healthcare provider to assess any potential impact on your pregnancy.


Considerations for Surgery
1. Timing of Surgery: If the surgery to remove the fixation device is not urgent, your healthcare team may recommend postponing it until after the delivery. This is particularly true if your condition can be managed conservatively during your pregnancy.

2. Hospital Stay and Recovery: The length of hospital stay and recovery time can vary based on the complexity of the surgery and your overall health. Typically, spinal surgeries may require a hospital stay of a few days, but this can be longer if complications arise. Post-operative recovery may take several weeks, during which you will need to limit physical activity to allow for proper healing.

3. Monitoring During Pregnancy: If surgery is deemed necessary, your healthcare team will closely monitor both your health and the health of your fetus throughout the process. This includes pre-operative assessments, intra-operative monitoring, and post-operative care.

4. Support Systems: Given your situation, it may be beneficial to have a strong support system in place, both emotionally and physically. This can include family, friends, and healthcare providers who can assist you during your recovery and help manage any challenges that arise during your pregnancy.


Conclusion
In summary, while surgery during pregnancy is possible, it requires careful consideration of the risks and benefits. Open communication with your healthcare providers is essential to ensure the best outcomes for both you and your baby. They will help you weigh the necessity of the surgery against the potential risks involved, and together you can make an informed decision that prioritizes your health and the health of your fetus. Always remember that your healthcare team is there to support you through this challenging time, and do not hesitate to reach out with any further questions or concerns.