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Before Gynecologic Surgery: Pre-operative Preparation and Fasting
Summary
Preparing for gynecologic surgery is an important step to ensure your safety and the success of the procedure. Following these guidelines will help you feel more confident and ready on the day of your surgery.
What Is This & Why It Matters
This handout provides you with essential instructions to follow before your gynecologic surgery. By preparing well, you minimize risks and help ensure a smooth operation. These steps include fasting, medication adjustments, and planning your arrival at the hospital. Following these recommendations, which are based on guidelines from the American College of Obstetricians and Gynecologists (ACOG), will support your health and recovery.
What You Should Do
- Fast for 6-8 hours before your surgery. This means no food or drinks, including water, gum, or candy.
- Inform your healthcare provider about any medications you're taking, including supplements.
- Stop taking aspirin or NSAIDs (like ibuprofen) one week before your surgery unless instructed otherwise by your doctor.
- Make sure your doctor is aware of any allergies you have, especially to medications or latex.
- Arrange for someone to drive you to and from the hospital since you'll be unable to drive yourself after surgery.
- Wear loose, comfortable clothing on the day of surgery for ease of changing and comfort post-operation.
- Arrive early for any pre-operative testing or consultations that may be needed before surgery.
- Reach out to your healthcare provider if you feel unwell or have symptoms like fever or cough before the surgery.
What You Should NOT Do
- Do not eat or drink anything 6-8 hours before your scheduled procedure time.
- Avoid wearing makeup, nail polish, or jewelry on the day of surgery as it can interfere with medical equipment.
- Do not take any herbal supplements without consulting with your doctor as they may affect anesthesia.
- Refrain from smoking or using tobacco products 24 hours before surgery as it can affect healing.
- Do not drive yourself home after the procedure; ensure you have arranged transportation.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Feeling anxious or nervous about the upcoming procedure is completely normal.
- You might experience mild discomfort at the IV site after pre-op tests.
- It’s common to feel hungry or thirsty due to fasting requirements.
- You may experience slight drowsiness after waking up from anesthesia.
Call Your Doctor If...
- If you develop a fever above 100.4°F (38°C) within 24 hours before your surgery.
- Experiencing severe nausea or vomiting that doesn't go away.
- Noticing signs of an allergic reaction such as hives, rash, or difficulty breathing after taking prescribed medications.
- If you start having chest pain or trouble breathing at any point before the procedure.
- Sudden changes in your health condition like severe headaches or unexplained bleeding.
FAQ
Why do I need to fast before my surgery?
Fasting helps reduce the risk of complications during anesthesia by keeping your stomach empty.
Can I take my regular morning medications before surgery?
Discuss this with your doctor; some medications may need to be adjusted or skipped.
What should I bring with me to the hospital?
Bring necessary documents like ID and insurance cards. It's also helpful to have a list of current medications.
Will I need someone to stay with me after I'm discharged?
Yes, it's recommended to have a responsible adult stay with you for at least 24 hours post-surgery.
How long will my recovery take?
Recovery varies by individual and procedure; follow your doctor's guidance for a safe recovery.
What happens if I accidentally eat something before my surgery?
Inform your healthcare team immediately as it may affect the timing of your procedure.