These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Problem of oral surgical interventions during pregnancy, menstruation and under the intake of hormonal contraceptives].
    Author: Stech E.
    Journal: Stomatol DDR; 1979 Apr; 29(4):298-303. PubMed ID: 313090.
    Abstract:
    Pregnancy, menstruation and hormonal contraceptives are no contraindications for necessary oral surgical procedures. If the pregnancy takes a normal course, surgical interventions with absolute indication are possible at any time. Surgical interventions with relative indication should be performed during the second trimester of pregnancy. The dental treatment of pregnant women should be terminated, as far as possible, by the 7th or 8th month of pregnancy. Metabolic imbalances, static loading and gingival changes deserve special attention. Factors involved in performing oral surgery in conjunction with menstruation, pregnancy, and oral contraceptive (o.c.) use are presented. There are very small changes in blood coagulation factors during menstruation, with a longer premenstrual coagulation time. Only necessary major operations should be performed immediately before and during menstruation; extractions and abscess incisions can be performed at any time. Such small operations can also be performed without regard to o.c. use. Serious operations should be performed after the first spontaneous menstruation following discontinuation of o.c. use, due to increased risk of thromboembolism. In cases of emergency operations during o.c. use, a prophylactic against thromboembolic complications should be administered. Most necessary oral surgery can be performed during pregnancy. Where possible, oral surgery should be performed during the second trimester of pregnancy to avoid the possibility of spontaneous abortion in the first trimester and possible metabolic complications in the third trimester. Any operation on a women with eclampsia should be performed in conjunction with a birth attendant. A sitting position is preferred for performing oral surgery on pregnant patients to avoid the possibility of vena cava compression syndrome. An increased tendency of bleeding has not been established among pregnant surgical patients.
    [Abstract] [Full Text] [Related] [New Search]