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Drugs administered to the pregnant woman may have adverse effects on the developing fetus. The report was the clinical experience in the surgical and anesthetic management of obstetrical patients undergoing operations during gestation, obtained at our hospital over a 4 year period(from Jan. 1980, to DEc. 1983). The results were as follows: 1) Of the 10,230 patients delivered of infants during a 48 month period, 26 women or 0.2% had operations during their pregnancies. 2) Of the 26 patients undergoing operation during pregnancies, there was 7(26.9%) premature births, sill birth 3 cases(11.5%), and neonatal deaths 3 cases(11.5%), but congential anomalies were absent. 3) Of the 26 patients, the most common operations were Macdonald operation in 12 cases, and ovearian cystectomy and appendectomy were performed in each 5 cases. 4) Of the 26 cases, general anesthesia(balanced anesthesia) was administered to 4 cases, and spinal anesthesia to 22 cases. 5) The incidence of birth weight under 1.5kg was 11.6%, 1.5~2.5kg was 19.3%, over 2.5kg was 73.1%. 6) The 7~10 point of the Apgar scores in the neonates at 1 minutes was 57.7%, at 5 minute 61.5%.
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