New Scoring System Guides Surgical Risks During Pregnancy Interview with:
Adam Sachs MD

Assistant Professor of Anesthesiology
University of Connecticut School of Medicine What is the background for this study? What are the main findings?

Response: When women undergo appendectomy or cholecystectomy during pregnancy they are obviously concerned about the well being of their fetus. Unfortunately, the majority of the data available to council pregnant women is outdated and medical practice has significantly changed since their publication. What should clinicians and patients take away from your report?

Response: In our study, we identify risk factors for adverse pregnancy outcomes after appendectomy and cholecystectomy and develop a scoring system to assist practitioners in their discussions with these patients.

The risk factors most associated with adverse obstetrical outcomes included, cervical incompetence, preterm labor during the current pregnancy and vaginitis/vulvovaginitis. Instead of disease severity and surgical variables, pregnancy related risk factors were most important for determining a pregnant woman’s risk of a negative pregnancy outcome. What recommendations do you have for future research as a result of this study?

Response: Future research should focus on confirming these risk factors and creating interventions to prevent, or at least lower the risk of, miscarriage or preterm delivery for pregnant women with modifiable risk factors. Thank you for your contribution to the community.


Sachs A, Guglielminotti J, Miller R, Landau R, Smiley R, Li G. Risk Factors and Risk Stratification for Adverse Obstetrical Outcomes After Appendectomy or Cholecystectomy During Pregnancy. JAMA Surg. Published online January 18, 2017. doi:10.1001/jamasurg.2016.5045

Note: Content is Not intended as medical advice. Please consult your health care provider regarding your specific medical condition and questions.

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Last Updated on January 20, 2017 by Marie Benz MD FAAD