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Although elective surgery during pregnancy is generally avoided, patients and providers may have concerns when the need for indicated, nonobstetric surgery arises during pregnancy. Counseling regarding the risks for adverse outcomes has been limited by older data, so National Health Service (NHS) investigators in England sought to evaluate such risk in a modern cohort.
Nonobstetric surgeries were performed in 0.7% of 6.4 million pregnancies identified in NHS hospitals from April 2001 through March 2012. The most common surgery types were abdominal (26%), dental (11%), nail/skin (10%), and orthopedic (10%). Surgeries were performed within a week of the end of pregnancy in fewer than 6% of cases. After adjustment for potential confounders, the…