Surgical Emergencies in the Third Trimester of Pregnancy

Abstract

To reduce the fetal mortality attributable to disturbances of the umbilical cord and the placenta, anticipation of complications and a better understanding of. the pathophysiology of these organs are necessary. Successful treatment in surgical emergencies depends on timing; selecting the appropriate route of delivery; judicious use of analgesia, anesthesia and replacement transfusions; and recognition of clotting deficiencies in the mother.

Nonobstetric emergencies must be recognized and treated early. The more common complications must be distinguished from less common acute complications that cause hemorrhage or torsion or obstruction of a viscus.