Pregnant stomach pain, probably because of miscarriage, premature signs, but also there may be some, the surgical emergency caused. Acute appendicitis is one of the most common surgical emergency, once the diagnosis of appendicitis during pregnancy to prevent inflammation-proliferation, while giving antibiotics to surgery as soon as possible, patients highly suspicious, but also feasible to laparotomy, to avoid the rapid development of disease.
Characteristics of appendicitis during pregnancy
1, appendix position change: location of early stages of pregnancy no significant changes in the appendix, along with the progress of pregnancy, the uterus is increasing, and the appendix will gradually upward, outward shift.
2, congestive pelvic organs during pregnancy, the appendix also congestion, inflammation of rapid development, therefore, prone to appendicitis necrosis and perforation.
3, due to the increased uterine omentum was over, difficult to package inflammation, once the perforation, likely to cause peritonitis.
4, if the spread of uterine serous inflammation, can induce uterine contractions, causing miscarriage, premature delivery or tonic contraction of the uterus, the toxin can lead to fetal hypoxia and even death threats to safe motherhood.
Three factors have led to symptoms is not easy to judge
Appendicitis occurs when the pregnant woman with symptoms similar to ordinary people, mostly manifested as abdominal pain, nausea, vomiting, a few will be accompanied by fever, blood tests showed increased inflammation index rose and the white blood cells, etc., but because of the special physiological conditions during pregnancy, may increase the difficulty of diagnosis .
Factor 1 uterus squeeze the appendix
Because the pregnant woman's uterus bigger, the appendix has been squeezed, leading to acute appendicitis during pregnancy pain point moves to the uterus often cover up the signs and symptoms of appendicitis are not typical.
Factors 2, increase the difficulty of checking
For the sake of her unborn child's health, worried that some tests (such as X-ray or CT scan) may affect fetal development; the same time as doing a blood test, the pregnant women on behalf of inflammatory white blood cell count had more than the normal, so it hard in a while to make the right judgments.
Factor 3, symptoms easily confused
Pregnant women already often nausea, vomiting, stomach discomfort symptoms, and some symptoms similar to acute appendicitis, it is not easy to diagnose from symptoms on.
Various stages of pregnancy with acute appendicitis principles
1, during early pregnancy (1 to 12 weeks) with acute appendicitis, regardless of the severity of clinical presentation, surgical treatment should be. Little interference on the uterus at this time will not affect the continued pregnancy. If the time of recurrence until late pregnancy re-surgery, can increase the difficulty of operation, the mother is also at risk.
2, second trimester (13 to 28 weeks) with acute appendicitis, in the high-dose intravenous penicillin or ampicillin to prevent the spread of inflammation at the same time, surgical treatment as soon as possible. At this point the fetus has been relatively stable, surgery on the uterus is not interference, easy to abortion, to continue pregnancy. Is generally believed that 4 to 6 months of pregnancy is surgery to remove the appendix better time.
3, late pregnancy (28 to 36 weeks) with acute appendicitis should be surgical treatment, even if the result of surgical stimulation premature birth, most babies can survive. Impact of surgery on pregnant women is not large. If the pregnancy is almost expected date of birth, cesarean section should be first, again appendectomy. To select the extraperitoneal cesarean section is appropriate. When the appendix has been perforated, complicated by diffuse peritonitis, a serious pelvic infection, or the uterus, placenta have been signs of infection should be considered when cesarean section was performed at the same time, hysterectomy, subtotal hysterectomy, and the need drainage.
Surgery to avoid the occurrence of acute peritonitis
If the pregnant woman or the side of right lower abdominal pain and persistent remission, even unbearable, accompanied by nausea, vomiting, fever, coupled with significant press the right side of abdominal pain, abdominal muscles are hard, it is a sign of acute appendicitis, should immediately go to the hospital diagnosed.
Because pregnancy increases the difficulty of diagnosis, according to statistics, acute appendicitis in pregnant women before surgery and not one hundred percent confirmed. Gynecologist suggested that if the pregnancy is highly suspected acute appendicitis, the best surgery to remove the appendix or as soon as possible. Because early acute appendicitis without surgery, once the time delay to cause acute appendicitis peritonitis complicated by sepsis can cause pregnant women, then the mother and fetus are in danger.
Surgery to avoid surprise!
Mothers who do not have to worry about the risks of surgery, because even if the traditional appendectomy, as long as the degree to oppress the uterus, however, does not result in premature delivery or fetal injury, Now that many of the major hospitals in the comprehensive removal of the appendix can use laparoscopy technology, this surgical wound is small, good vision, faster recovery, can be reduced on the mother and fetus. After surgery doctors will give pregnant women contractions inhibitors to prevent miscarriages or premature delivery.
Medical Reminder
Early detection, early treatment and leave no after-effects
After reading above, I believe you mothers for treatment of acute appendicitis during pregnancy have a preliminary understanding. Although the probability of acute appendicitis in pregnant women is not high, but if unfortunately these cases, mothers do not panic, but also no doubt that in experienced surgical and gynecologists under the guidance of an operation as soon as possible. Early detection and treatment, generally do not leave sequelae; if hesitant, missed treatment opportunities, resulting in acute peritonitis, there may be life on the risk of mothers who caution!
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