International Journal of Health and Clinical Research
Yazarlar: Arunima Mukhopadhyay, Rrasad Dey, Ranu Roy Biswas
Konular:-
Anahtar Kelimeler:Acute abdominal pain in pregnancy,Acute cholecystitis in pregnancy,Acute appendicitis in pregnancy,Non obstetric emergency surgery in pregnancy
Özet: Background of study: Acute abdomen may occur during pregnancy due to several non obstetric surgical diseases. Diagnosis is often difficult because clinical features may be masked and diagnostic radiology is constrained. Management may be delayed due to hesitancy of the surgeon to operate on the pregnant mother. Objectives: To identify the cases presenting with an acute abdomen due to non obstetric surgical diseases in an antenatal population; to note the frequency, incidence, clinical features, and to evaluate the managementMaterials and methods: This was a prospective observational study in a tertiary teaching hospital. The study period extended over one year( January- December 2019). All antenatal patients attending the OPD/ER during the study period were assessed for the presence of acute abdomen due to non obstetric surgical diseases. All such patients were admitted and received initial medical management followed by emergency surgery if indicated. The patients were discharged after clinical resolution and followed up till delivery to note feto-maternal outcome. The institution ethics committee approved the study. The data was analysed by Statististical Package of Social Sciences , version 24. Results:54 patients were detected out of 9768 antenatal cases with an incidence of 0.55%. Acute cholecystitis was most frequent(46.29%) followed by acute appendicitis(29.62%). 33 cases(61.11%) were treated medically while 21 cases (38 88%) required emergency surgery.The maternal mortality rate was 1.851% (out of all cases of acute abdomen) and 4.76% among surgically treated patients. Foetal loss was 5.55%( among all cases of acute abdomen) and was 14.28% following surgery. Preterm labour occurred in 9.25% cases of acute abdomen and 14.28% of cases following surgery. Conclusion: A multidisciplinary approach, effective diagnostic modalities, and safe surgery are imperative for management of acute abdomen in pregnancy due to non obstetric surgical diseases.