No abstract

MR imaging shows promise for evaluation of pregnant women in whom acute appendicitis is suspected by enabling diagnosis of other possible causes of right-lower-quadrant pain, including ovarian torsion or pelvic abscesses, and demonstrating a healthy or unhealthy appendix.

were more frequent than in the group without HDP conditions. Babies of the preeclamptic and eclamptic mothers were more likely to be stillborn, have low birth weight, low Apgar scores, and neonatal complications. Chronic hypertension was associated with preeclampsia [adjusted odds ratio (OR), 8.32; 95% confidence interval (CI), 7.13-9.72] as was eclampsia (adjusted OR, 12.06; 95% CI,). Preeclampsia and eclampsia were also significantly associated with renal and hepatic disease, anemia, systemic infections or sepsis, nulliparity, multiple pregnancies, and lack of formal education. Maternal age older than 35 years was associated with preeclampsia, whereas age less than 19 years was associated with eclampsia. Of 262 women with preeclampsia who suffered a maternal near-miss, 115 (43.9%) were attributed to coagulation dysfunction, followed by respiratory and cardiovascular dysfunction (24.8% and 24.0%, respectively). For the 126 eclamptic women, most near-misses were related to neurological dysfunction (n = 66; 52.4%). The risk of death was about 4 times higher for women with preeclampsia compared with women without the condition. For women with eclampsia, the risk increased exponentially (adjusted OR, 42.38; 95% CI, 25.14-7.144). The risk of maternal near-miss was 8 and 60 times higher in women with preeclampsia and eclampsia, respectively. The risks of fetal and neonatal death, preterm birth, and admission to an NICU were increased in both conditions with the risk slightly higher in eclampsia.The data reported in this study contribute useful information to researchers studying global maternal morbidity. They could also be used to guide practice and policy recommendations regarding the most frequent complications and related to HDP.

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