With acute appendicitis during pregnancy treatment

Sunday, March 30, 2008 · Posted in

Once pregnancy diagnosed with acute appendicitis, regardless of the severity and duration of pregnancy how treatment should be carried out immediately. Highly suspicious of pregnancy with acute appendicitis, laparotomy is the indication. In addition, still consider abortion, premature birth and infant survival issues. 1, early pregnancy (1-12 weeks) with acute appendicitis, regardless of their level of clinical manifestation, treatment should be. At this point do not interfere with the uterus, will not affect the pregnancy to continue. If the question of advanced or recurrent pregnancy when the re-operation, we will increase the difficulty surgery, the mother is in danger. 2, the second trimester (13-24 weeks) with acute appendicitis, its clinical manifestations light and refused surgery, use of non-surgical treatment, high-dose intravenous penicillin or ampicillin. If the progress of the disease can not be controlled, surgery. At this time the embryo has been solid, not interference surgery on the uterus, it is not easy abortion, pregnancy may continue. Generally believed that 4-6 months of pregnancy is surgical resection appendectomy better time. Late pregnancy (28-36 weeks) with acute appendicitis, surgery, even in the case of surgery induced premature birth, the vast majority of babies will survive. Surgery is the impact on pregnant women. With acute appendicitis in pregnancy when the fetus can survive does not depend on appendectomy surgery, but decided to delay the diagnosis or delay surgical resection. Pregnancy is not a taboo appendectomy surgery, surgery may not necessarily cause premature. In order to prevent miscarriages and premature, after application of conventional sedatives, salbutamol and other Baotai Hope or progesterone treatment is necessary.

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