Background: Appendicitis is the most common non-obstetric surgical emergency in pregnancy, posing unique challenges for anesthesia management. Physiological changes during pregnancy and fetal safety concerns complicate perioperative care. Laparoscopic appendectomy has become the preferred approach, requiring careful anesthetic consideration to ensure maternal and fetal well-being.

Objective: This study aimed to describe anesthesia practices for pregnant patients undergoing laparoscopic appendectomy.

Methods: A descriptive cross-sectional study was conducted from January 2022 to December 2024, involving 63 purposively selected pregnant patients at the Community Based Medical College, Mymensingh Medical College & three Specialist Private hospital of Mymensingh. Data on demographic characteristics, gestational age, anesthesia techniques, medications, intraoperative monitoring, and maternal-fetal outcomes were collected and analyzed using MS Office tools.

Results: The study included 63 pregnant patients (mean age 26.5±4.2 years), predominantly in the second trimester (58.7%). General anesthesia with endotracheal intubation was used in 92.1% of cases. Propofol (87.3%) and succinylcholine (100%) were primary agents. Stable hemodynamics were maintained in 88.9% of patients. No major maternal complications or fetal adverse outcomes occurred. Mean surgery duration was 45.2±12.3 minutes with 68.5±15.7 minutes anesthesia time.

Conclusion: This study confirms the safety of general anesthesia for laparoscopic appendectomy in pregnancy when using proper monitoring. The favorable outcomes support current protocols, though standardized fetal monitoring remains essential. These findings aid anesthetic management of non-obstetric surgeries in pregnant patients.

Muhammad Ali Siddiqui is currently serving as an Associate Professor (CC) in the Department of Anaesthesia & ICU at Community Based Medical College, Bangladesh.