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© 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Objective

To assess how much and on which specialities nonobstetric surgery was performed for pregnant women in Finland during a 21‐year period, between 1997 and 2017 and the effect of Finnish guideline about preoperative evaluation affected the amount of surgery during pregnancy.

Design

Register‐based observational study.

Setting

Finnish Medical Birth Register.

Population

1 175 677 pregnancies ending with a singleton birth 1997−2017.

Methods

Amount of nonobstetric surgeries, and pregnancy foetal and maternal outcomes in Finland between 1997 and 2017 were searched.

Main Outcome Measures

The prevalence of nonobstetric surgery, and proportions of elective and emergency nonobstetric surgery performed during the three trimesters.

Results

The prevalence of nonobstetric surgery before the guideline was 0.39%, after the guideline 0.28% and after the first revision 0.39%. The prevalence of elective surgery decreased after the guideline (before 0.15%, after the guideline 0.10% and 0.07% after the first revision), but the prevalence of emergency surgery was highest after the first revision (0.24%, 0.21% and 0.29%). The guideline and the first revision had no impact on the timing of elective surgery; 35% of elective surgery was performed during the second trimester before the guideline, 36% after it and 36% after its first revision. The preterm delivery rate, 9.1%−9.4% of pregnancies with nonobstetric surgery was twofold higher than that of pregnancies without surgery.

Conclusion

The prevalence of nonobstetric surgery during pregnancy is low in Finland. The national guideline decreases the prevalence of elective surgery during pregnancy but does not impact the timing of nonobstetric surgery.

Details

Title
Nonobstetric surgery during pregnancy in Finland during a 21‐year period: A register‐based study
Author
Haataja, Anna 1 ; Gissler, Mika 2   VIAFID ORCID Logo  ; Kokki, Hannu 3   VIAFID ORCID Logo  ; Heino, Anna 4 ; Järvelin, Jutta 4 ; Porela‐Tiihonen, Susanna 5   VIAFID ORCID Logo  ; Kokki, Merja 6   VIAFID ORCID Logo 

 Faculty of Medicine, University of Oulu, Oulu, Finland 
 Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden 
 Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland 
 Information Services Department, Finnish Institute of Health and Welfare, Helsinki, Finland 
 Department of Paediatric Surgery, Kuopio University Hospital, Kuopio, Finland 
 Department of Anaesthesiology and Intensive Care, Kuopio University Hospital, Kuopio, Finland 
Pages
51-61
Section
ORIGINAL ARTICLES
Publication year
2022
Publication date
Sep 1, 2022
Publisher
John Wiley & Sons, Inc.
ISSN
27687228
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3090894366
Copyright
© 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.