Pancreatitis In Pregnancy: What has Remained The Same and What has Changed?

Machado, Norman Oneil

doi:10.4172/2165-7092.1000e140

Cited by 2 publications

(1 citation statement)

References 60 publications

(122 reference statements)

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“…Increased vascular permeability means that third space losses can be significant; haematocrit can give an indication of these losses. In early severe acute pancreatitis, fluid requirements of 150–300 ml/hour would not be unusual – input should be titrated to aim for a urine output of 0.5 ml/kg/hour 21 Analgesia – many patients require opioids as well as simple paracetamol. Venous thromboembolism (VTE) prophylaxis – this is required and should be prescribed according to local guidelines. Nutrition – oral intake should be encouraged and supplemented where necessary, favouring the enteral route where possible.…”

Section: Management Of Acute Pancreatitis In Pregnancymentioning

confidence: 99%

Acute and chronic pancreatitis in pregnancy

O’heney

Barnett

MacSwan

et al. 2021

The Obstetric & Gynaecologis

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Acute pancreatitis can be a life-threatening condition at any stage of life. It is seen in up to 3 in 10 000 pregnancies, with high rates of preterm delivery and maternal mortality rates of up to 3%. Diagnosis in pregnancy can be more challenging, and its aetiology is distributed differently to that of the nonpregnant population. When managing pregnant patients, consideration of implications for the fetus poses an additional challenge. Pregnant patients with chronic pancreatitis need careful assessment, paying attention to nutritional and exocrine needs, pain management and the development of diabetes mellitus. Learning objectivesKnow the symptoms, signs and causes of acute pancreatitis in pregnant women, as well as methods of investigation and classification. Understand how to manage acute pancreatitis. Appreciate the challenges faced by women with chronic pancreatitis and how to manage them, including pregnancy outcome.

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