PREGNANCY-BIRTH Messages for April, 2002: Re: induction and cholecystectomy

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Re: induction and cholecystectomy

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 30 Apr 2002 14:10:48 -0500 (CDT)

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At Mon, 29 Apr 2002, Ann wrote: >
>An ultrasound confirmed I have "quite a few" gall stones. I have had 3
>gall bladder attacks in 3 weeks. I am 38 weeks pregnant and have been
>severely nauseated throughout my pregnancy. (zofran pump, reglan, et
>al) In fact, I lost 30 lbs and have not quite gained them back.
>
>I told my doc I'd like to have the gall bladder out ASAP. So, she has
>scheduled an induced labor at 39 weeks.
>
>She also is trying to get the general surgeon to take out the gall
>bladder the first postpartum day.
>
>Unfortunately, my doctor has said weird things like - you could have it
>removed while you have your epidural. I told her I thought that an
>epidural wouldn't numb me high enough for a gall bladder surgery. "Oh,
>that's right..." she said. For this reason (and others) I'm left with
>little confidence in her opinions.
>
>Question 1: Is this a valid reason for an induction at 39 weeks?
>Question 2: Do you think a general surgeon would be willing to remove
>the gall bladder the first post partum day? (If there seems to be no
>infection or immediate serious risk to me or the baby)
>Question 3: If the surgeon will, do you think it is advisable to have it
>done so soon?
>
>Thanks for any insight you can provide!
>Ann (I'm 28. This is my first pregnancy.)

What CAN be done, and what SHOULD be done are not necessarily the same thing. I suspect that this plan can be carried out, with the induction being the easiest and safest part. You will definitely need general anesthesia. I am not at all sure that the general surgeon is going to want to do it this way however. I personally would want to wait a bit, at least a couple of weeks, and 6 full weeks if possible before doing it, and since not being pregnant has every hope of reducing your symptoms, I would go that way first. Just my opinion.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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