md-medicaldata


Go to content

Main menu:

 

 

 

 

 

 

 

CIP -  Каталогизација у публикацији
Народна библиотека Србије, Београд
61
MD : Medical Data : medicinska revija = medical review / glavni i odgovorni urednik Dušan Lalošević. - Vol. 1, no. 1 (2009)- . - Zemun : Udruženje za kulturu povezivanja Most Art Jugoslavija ; Novi Sad : Pasterovo društvo, 2009- (Beograd : Scripta Internacional). - 30 cm

Dostupno i na: http://www.md-medicaldata.com. - Tri puta godišnje.

ISSN 1821-1585 = MD. Medical Data
COBISS.SR-ID 158558988


PREOPERATIVNA PRIPREMA TRUDNICA POD POVIŠENIM RIZIKOM – SAVREMENE PREPORUKE /

PREOPERATIVE PREPARATION OF PREGNANT WOMEN AT INCREASED RISK - MODERN RECOMMENDATIONS

Authors

Jasminka Uram-Dubovski2, Duška Ilić3 , Nikola Bošković1,3, Izabella Fabri-Galamboš1,3, Goran Rakić1,3, Dragan Turanjanin1,3, Veličko Trajković1,3, Anna Uram-Benka1,3

1Univerzitet u Novom Sadu, Medicinski fakultet, Novi Sad, Srbija
2Klinički centar Vojvodine, Klinika za ginekologiju i akušerstvo, Novi Sad, Srbija
3Institut za zdravstvenu zaštitu dece i omladine Vojvodine, Novi Sad, Srbija

 

UDK: 618.3-089.5


The paper was received / Rad primljen 20.10.2025.

Accepted / Rad prihvaćen: 14.11.2025.

 


Correspondence to:


Duška Ilić
Železnička 48, Novi Sad;
Tel: 065 4577363
e-mail: duskailic12@gmail.com

 

 

Sažetak

 

 

Uprkos brojnim dostignućima u akušerstvu i akušerskoj anesteziji, stopa smrtnosti majki je i danas visoka čak i u razvijenim zemljama. Jedan od razloga je sve veći broj trudnica sa visokim rizikom, što uključuje stariju životnu dob,  gojaznost, značajna kardiovaskularna, respiratorna i neurološka obolenja. Najznačajnije je pravovremeno prepoznavanje i priprema takvih pacijentkinja,kao što su  procena disajnog puta, formiranje plana porođaja i lečenja. Zbrinjavanje trudnica sa visokim rizikom je među najzahtevnijim kliničkim oblastima za akušere i anesteziologe, te zahteva multidisciplinarnu saradnju kardiologa, hematologa i specijaliste drugih medicinskih oblasti.

 

Ključne reči:

akušerska anestezija, visok rizik, gojaznost, kardivaskularna, respiratorna, neurološka obolenja

 

 

 

Abstract

 

Despite numerous advancements in obstetrics and obstetric anesthesia, the maternal mortality rate remains high even in developed countries. One of the reasons for this is the increasing number of high-risk pregnant women, which includes older age in pregnant women, obesity, and significant cardiovascular, respiratory, and neurological conditions. The most important factor is recognition and preparation of such patients, including the assessment of the airway, the development of a delivery and treatment plan. Managing high-risk pregnant women is one of the most demanding clinical areas for obstetricians and anesthesiologists, requiring multidisciplinary collaboration with cardiologists, hematologists, and specialists from other medical fields.

 


Key words:

obstetric anesthesia, high risk, obesity, cardiovascular, respiratory, neurological conditions.

 

 

 

 

References:

  1. Neef V, Wenk M, Kranke P. Geburtshilfliche Anästhesie [Obstetric Anesthesia]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2023;58(10):570-582.
  2. Kimura J, Kawamura K, Minoura M, Hiramoto A, Suga Y, Okahara S, Inoue R, Sumikura H. Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report. JA Clin Rep. 2021;7(1):26.
  3. Prior CH, Burlinson CEG, Chau A. Emergencies in obstetric anaesthesia: a narrative review. Anaesthesia. 2022;77(12):1416-1429.
  4. Mushambi MC, Athanassoglou V, Kinsella SM. Anticipated difficult airway during obstetric general anaesthesia: narrative literature review and management recommendations. Anaesthesia. 2020;75(7):945-961.
  5. Rucklidge MW, Yentis SM. Obstetric difficult airway guidelines - decision-making in critical situations. Anaesthesia. 2015;70(11):1221-5.
  6. Mehta N, Chen K, Hardy E, Powrie R. Respiratory disease in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2015;29(5):598-611.
  7. Langley-Evans SC, Pearce J, Ellis S. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review. J Hum Nutr Diet. 2022;35(2):250-264.
  8. Giouleka S, Tsakiridis I, Koutsouki G, Kostakis N, Mamopoulos A, Kalogiannidis I, Athanasiadis A, Dagklis T. Obesity in Pregnancy: A Comprehensive Review of Influential Guidelines. Obstet Gynecol Surv. 2023;78(1):50-68.
  9. Middeldorp S, Naue C, Köhler C. Thrombophilia, Thrombosis and Thromboprophylaxis in Pregnancy: For What and in Whom? Hamostaseologie. 2022;42(1):54-64.
  10. Samfireag M, Potre C, Potre O, Tudor R, Hoinoiu T, Anghel A. Approach to Thrombophilia in Pregnancy-A Narrative Review. Medicina (Kaunas). 2022;58(5):692.
  11. Subtil SFC, Mendes JMB, Areia ALFA, Moura JPAS. Update on Thrombocytopenia in Pregnancy. Rev Bras Ginecol Obstet. 2020;42(12):834-840.
  12. Pacheco LD, Saade GR, James AH. Von Willebrand Disease, Hemophilia, and Other Inherited Bleeding Disorders in Pregnancy. Obstet Gynecol. 2023;141(3):493-504.
  13. James AH, Pacheco LD, Konkle BA. Management of pregnant women who have bleeding disorders. Hematology Am Soc Hematol Educ Program. 2023;2023(1):229-236.
  14. Sahu AK, Harsha MM, Rathoor S. Cardiovascular Diseases in Pregnancy - A Brief Overview. Curr Cardiol Rev. 2022;18(1):e250821195824.
  15. Salari N, Mohammadi A, Hemmati M, Hasheminezhad R, Kani S, Shohaimi S, Mohammadi M. The global prevalence of low back pain in pregnancy: a comprehensive systematic review and meta-analysis. BMC Pregnancy Childbirth. 2023;23(1):830.
  16. Toscano M, Thornburg LL. Neurological diseases in pregnancy. Curr Opin Obstet Gynecol. 2019;31(2):97-109.
  17. Li Y, Meador KJ. Epilepsy and Pregnancy. Continuum (Minneap Minn). 2022;28(1):34-54.
  18. Arneth BM. Pregnancy in patients with multiple sclerosis. J Investig Med. 2022;70(1):14-19.
  19. Waters J. Management of Myasthenia Gravis in Pregnancy. Neurol Clin. 2019;37(1):113-120.
  20. Schenone C, Pacini G, Gotelli E, Hysa E, Campitiello R, Sammorì S, Paolino S, Sulli A, Cutolo M. Updating on pregnancy in rheumatoid arthritis. Expert Rev Clin Immunol. 2024;20(9):1041-1052.
  21. Nandoliya KR, Sadagopan NS, Alwakeal A, Kemeny H, Cloney M, Dahdaleh NS, Koski T, El Tecle N. Adolescent Idiopathic Scoliosis and Pregnancy. Cureus. 2023;15(10):e46782.
  22. Lee EY, Copaescu AM, Trubiano JA, Phillips EJ, Wolfson AR, Ramsey A. Drug Allergy in Women. J Allergy Clin Immunol Pract. 2023;11(12):3615-3623.

PDF: 12-Uram Dubovski J. et al. MD-Medical Data 20258;17(3) 201-206.pdf

 

 

Naslovna | Revija | Galerija | Dešavanja | Instrukcije | Redakcija | Izdavač | Prijatelji sajta | Saradnja | Kontakt | Site Map


Back to content | Back to main menu