Navigation Links
Same-day pregnancy test provides valuable guidance to pre-surgery patients
Date:6/16/2008

The first trimester of any pregnancy is a precarious time, as about 15 percent of women who know they are pregnant will spontaneously miscarry. This risk increases when pregnant women undergo surgery, which is why Hospital for Special Surgery (HSS) in New York instituted a same-day pregnancy testing protocol. A study published in the April issue of Anesthesia and Analgesia shows that this protocol is effective in identifying unknown pregnancies to the benefit of the patient, the physician and the hospital.

"There are no standard recommendations and it is my sense that most places do not have a protocol like this in effect," said Richard L. Kahn, M.D., attending anesthesiologist at Hospital for Special Surgery and lead author of the study. "But the majority of the surgeries HSS performs are elective. By testing all women of child-bearing age on the same day of their surgery we can make sure that the patient has all the facts to make the best informed decision."

The doctors found of 2,588 women tested, five patients had a positive pregnancy test. All of the patients postponed surgery and only one was a false positive.

The American Society of Anesthesiologists gives individual hospitals and physicians the opportunity to define and institute their own policies in regards to pre-operation pregnancy testing. Like many hospitals, Hospital for Special Surgery had been conducting some tests a week before the scheduled surgery, but it wasn't a consistent protocol.

"Pregnancy hormone levels can change within the week leading up to surgery, and HSS was concerned that it was missing some pregnancies," said Dr. Kahn. "We instituted the new policy in November 2004 and the study looked at the cost-benefit ratio within the first full year, January 2005 January 2006, that the protocol was in effect."

While there is no conclusive evidence, there are associated pregnancy risks with any surgery. Both the stress the mother is under during surgery or the anesthesia could contribute to a spontaneous miscarriage or to an increased chance of birth defects. Doctors at Hospital for Special Surgery always explain the risks to patients who are pregnant, but if the patient herself doesn't know she is pregnant she may not spend much time weighing the risks.

The direct cost associated with each urine pregnancy test is $5.03. Therefore, it cost HSS $3,273 in lab and labor costs to detect each unrecognized pregnancy, though this does not include the indirect costs associated with a cancelled surgery. However, if a woman who didn't know she was pregnant went on to either lose the pregnancy or have a child with a birth defect, the unknown role that anesthesia and surgery may have played in this can be devastating to patient and physician. The benefit of eliminating this possibility, Dr. Kahn said, is more than enough to justify the cost of testing and inconvenience of a postponed surgery.

"Based on the outcome of this study, the same-day pregnancy testing is still in effect at HSS," said Dr. Kahn. "If I were to move to another hospital that did not perform same-day pregnancy testing, I would work to institute a similar policy. What it comes down to is providing the best care for our patients, and I believe this protocol allows us to do that."


'/>"/>

Contact: Phyllis Fisher
fisherp@hss.edu
212-606-1197
Hospital for Special Surgery
Source:Eurekalert

Related medicine news :

1. Women who gain excessive weight during pregnancy
2. Researcher Finds Link Between Pregnancy and Tooth Loss
3. Smoking during pregnancy increases risk of SIDS
4. Stretching exercises may reduce risk of pre-eclampsia during pregnancy
5. First-born babies higher asthma and allergy rates due to pregnancy conditions
6. Moms Stress in Pregnancy May Up Babys Asthma and Allergy Risk
7. SheKnows Acquires PregnancyandBaby - Online Community From Preconception Through Birth
8. Gene May Be Key to Pregnancy Complication
9. Omron Makes Blood Pressure Monitoring Easy for Women at Any Stage of Life, Including Pregnancy
10. High Blood Sugar Tied to Pregnancy Complications
11. University Hospitals Physician Authors Working Womans Pregnancy Book
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... ... Rijuven Corp launches rejiva ( http://www.rejiva.com ), a unique wearable technology that measures ... on the market can deliver all that rejiva can. , “Rejiva promotes relaxation and ... than the usual heart rate and steps taken”, adds Evens Augustin, CEO of Rijuven. ...
(Date:12/2/2016)... ... December 02, 2016 , ... "Pro3rd Accents Volume 2 is a ... versatile lower third titles with just a few clicks of the mouse," said Christina ... 30 lower third animations. Choose from various styles with accented animations, rigid boxes, simplistic ...
(Date:12/2/2016)... ... December 02, 2016 , ... ... needy individuals and families from eight different sites throughout Miami-Dade and Broward counties. ... 1,000 volunteers worked very hard on Thanksgiving morning by putting together individual meals ...
(Date:12/2/2016)... ... December 02, 2016 , ... Date aired: ... of Type 2 Diabetes: The Owner’s Manual, http://realtimepressrelease.com/press-releases-tagged-with/daryl-wein , Sharon ... of Water, Global Climate Change and Your Health radio program syndicated on Voice ...
(Date:11/30/2016)... ... November 30, 2016 , ... ... that we have been designated as a Cigna Infertility Center of Excellence. The ... performance standards. , “It’s an honor to be designated a Cigna Infertility ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... 2, 2016  The Addiction Treatment Advisory Group ... Managed Care Pharmacy (AMCP), has released detailed findings ... the opioid addiction crisis, including through improved access ... ATAG,s newly released paper, "The Role of ... addresses many issues around gaps and barriers to ...
(Date:12/2/2016)... 2, 2016 Boston Scientific Corporation (NYSE: ... acquire certain manufacturing assets and capabilities of the Neovasc, ... biological tissue business, as well as a 15% equity ... in cash. The Neovasc advanced biological tissue business makes ... Scientific Lotus™ Valve System. * Upon completion of ...
(Date:12/2/2016)... On Thursday, the NASDAQ Composite ended ... Industrial Average edged 0.36% higher, to finish at 19,191.93; and ... broad based as six out of nine sectors ended the ... the following Services equities: Myriad Genetics Inc. (NASDAQ: ... Research Holdings Inc. (NASDAQ: INCR ), and La ...
Breaking Medicine Technology: