The physiologic changes of pregnancy and risks to the fetus require attention during dermatologic surgery. Elective surgery should be performed in the second trimester or the postpartum period. Cosmetic work should occur after delivery to avoid hypertrophic or hyperpigmented scars. Skin preparatory agents and anesthetics may have fetal implications and should be chosen with care. Antibiotic selection for any infections must take into account possible maternal and fetal risks. Attention to detail and awareness of the changes in pregnancy should lead to safe surgery in the pregnant patient.
aDivision of Dermatology, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
bDermatologic Surgery, University of Massachusetts Memorial Health Care, Hahneman Campus, 4th Floor, 281 Lincoln Street, Worcester, MA 01605, USA
ABSTRACT