Table 3 Recommendation for treatment algorithm for spine surgery in pregnant women depending on their gestational age, MRI (magnetic resonance imaging) feasible during all stages of pregnancy if necessary and MAP (mean arterial blood pressure) for uteroplacental perfusion
From: Spine surgery in pregnant women: a multicenter case series and proposition of treatment algorithm
< 12 weeks | 12–24 weeks | > 24 weeks | |
|---|---|---|---|
Diagnostics | MRI | MRI | MRI |
Positioning | Prone | Left lateral | Left lateral |
Monitoring | Ultrasound | Ultrasound | CTG ± Ultrasound |
MAP Anesthesia | > 70 mmHg | > 70 mmHg | > 70 mmHg |
Analgetics | Paracetamol, ibuprofen, diclofenac | Paracetamol, ibuprofen, diclofenac | Paracetamol, opioids |