Evaluation of obstetrical and fetal outcomes in pregnancies complicated by acute appendicitis

Abbasi, Nimrah; Patenaude, Valérie; Abenhaim, Haim A.

doi:10.1007/s00404-014-3276-7

Cited by 45 publications

(31 citation statements)

References 22 publications

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“…It should be noted that the ICD-9 codes used to identify both outcomes and accidents were validated in previously published NIS-based studies. 5,[10][11][12][13][14] Our statistical analyses started with a presentation of the frequencies of baseline characteristics in pregnant and non-pregnant subjects who were admitted for an MVA. Next, the type of MVA (motor-vehicle, motorcycle, pedestrian, cyclist) and specific context (driver, passenger) of subjects' collision-related MVA were examined by pregnancy status, with the χ 2 -test to determine P-values.…”

Section: Methodsmentioning

confidence: 99%

Motor vehicle collision‐related accidents in pregnancy

Azar

Longo

Abenhaim

2015

J of Obstet and Gynaecol

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Pregnant women admitted to hospital after a collision-related MVA tend to sustain less severe injuries compared to non-pregnant women. However, the influence of admissions for fetal monitoring, rather than maternal injury, could not be determined from our dataset. Pregnant women who experienced a collision-related MVA also required less surgical intervention, with the exception of genitourinary surgery, which may be indicative of more cesarean deliveries.

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Section: Methodsmentioning

confidence: 99%

Motor vehicle collision‐related accidents in pregnancy

Azar

Longo

Abenhaim

2015

J of Obstet and Gynaecol

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“…[3][4][5] Therefore, complications occur more frequently during pregnancy than in non-pregnant women. [6] Although US is the most commonly and easily performed diagnostic tool for AA in pregnancy, recently magnetic resonance imaging (MRI) has been reported to be superior, with sensitivity and specificity rates of 96.8% and 99.2% respectively.…”

mentioning

confidence: 99%

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Arer

Alemdaroğlu²,

Yeşilağaç³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Acute appendicitis (AA) is the most common cause of acute abdomen during pregnancy. Most of the signs of appendicitis are also found during normal pregnancy period, however, and diagnosis of appendicitis during pregnancy remains challenging. The aim of the current study was to report our clinical experience of AA during pregnancy and investigate optimal management of this difficult situation.

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“…Among the 27 % of patients with peritonitis, the rate of preterm birth was fourfold higher, and the caesarean section rate was almost doubled [13]. Also, the increase in preterm labour is affected by increases in perforation and gestational age [9].…”

Section: Discussionmentioning

confidence: 99%

Maternal and Fetal Outcome in Pregnant Women with Acute Appendicitis: A Three Year Observational Study

Masood

Saleh

Shaheen

et al. 2016

OGIJ

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Objective: To assess the maternal and fetal outcome in pregnant women presented with acute appendicitis and to detect predictors of fetal loss. Methods:A prospective observational study included 118 pregnant women presented with acute appendicitis and divided into two groups, uncomplicated appendicitis group (n=64) and complicated appendicitis group (n=54). Operative details, maternal and fetal outcome were assessed. Univariate and multivariate analyses were used to detect predictors of fetal loss. Data was collected and tabulated.Results: Patients in the complicated group have gone midline incision, longer operative time, more postoperative fever, more surgical site infection, longer hospital stay (p<0.001), higher rate of abortion and fetal demise (p<0.05) than uncomplicated appendicitis patients. Conclusion:Poorer obstetric outcome was encountered in complicated cases. In addition to complicated appendicitis, the use of general anesthesia, operative time greater than 60 minutes, midline incision, postoperative pneumonia and hospital stay more than 3 days were other predictors of fetal loss. Larger studies are warranted to confirm or refute our findings.

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Evaluation of obstetrical and fetal outcomes in pregnancies complicated by acute appendicitis

Abstract: Although rare, appendicitis in pregnancy is associated with adverse maternal outcomes and worsened in cases of peritonitis. Measures to decrease risk of peritonitis should be taken in order to limit associated morbidities.

Cited by 45 publications

References 22 publications

Motor vehicle collision‐related accidents in pregnancy

Motor vehicle collision‐related accidents in pregnancy

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Maternal and Fetal Outcome in Pregnant Women with Acute Appendicitis: A Three Year Observational Study

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