Advertisement

What Are the Chances of Developing a Non-obstetric Abdominal Emergency During Pregnancy? What Risks Do Abdominal Emergencies Pose to the Developing Pregnancy?

  • Elizabeth Pontius
Chapter

Abstract

Abdominal pain during pregnancy can be related to pregnancy itself or may be entirely unrelated. Up to 1 in 500 pregnant women experience an acute abdomen, with 0.2–1% of women requiring surgery during pregnancy for a non-obstetric problem. The physiologic and anatomic changes occurring during pregnancy, as well as a hesitancy to perform radiographic studies, may make it difficult for clinicians to make a timely diagnosis. Delayed diagnosis can lead to increased maternal and fetal complications.

Keywords

Acute abdomen Pregnancy Appendicitis Cholecystitis Pyelonephritis 

References

  1. 1.
    Diegelmann L. Nonobstetric abdominal pain and surgical emergencies in pregnancy. Emerg Med Clin N Am. 2012;30:885–901.CrossRefGoogle Scholar
  2. 2.
    Shasteen M, Pontius E. Non-obstetric abdominal pain in pregnancy. In: Borhart J, editor. Emergency department management of obstetric complications. Switzerland: Springer International Publishing AG; 2017.Google Scholar
  3. 3.
    Bouyou J, Gaujoux S, Marcellin L, Leconte M, Goffinet F, Chapron C, Dousset B. Abdominal emergencies during pregnancy. J Visc Surg. 2015;152:S105–15.CrossRefGoogle Scholar
  4. 4.
    Longo SA, Moore RC, Canzoneri BJ, Robichaux A. Gastrointestinal conditions during pregnancy. Clin Colon Rectal Surg. 2010;23(2):80–9.CrossRefGoogle Scholar
  5. 5.
    Barber-Millet S, Lledo JB, Castro PG, Gavara IG, Pla NB, Dominguez RG. Update on the management of non-obstetric acute abdomen in pregnant patients. Cir Esp. 2016;94(5):257–65.CrossRefGoogle Scholar
  6. 6.
    Cohen-Kerem R, Railton C, Oren D, Lishner M, Koren G. Pregnancy outcome following non-obstetric surgical intervention. Am J Surg. 2005;190:467–73.CrossRefGoogle Scholar
  7. 7.
    Aylin P, Bennett P, Bottle A, Brett S, Sodhi V, Rivers A, Balinskaite V. Estimating the risk of adverse birth outcomes in pregnant women undergoing non-obstetric surgery using routinely collected NHS data: an observational study. Health Serv Deliv Res. 2016;29(4):1–76.CrossRefGoogle Scholar
  8. 8.
    Schwarzman P, Baumfeld Y, Bar-Niv Z, Baron J, Mastrolia SA, Sheiner E, Mazor M, Hershkovitz R, Weintraub AY. The effect of non-obstetric invasive procedures during pregnancy on perinatal outcomes. Arch Gynecol Obstet. 2015;292:603–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elizabeth Pontius
    • 1
    • 2
  1. 1.Georgetown University School of MedicineWashington, DCUSA
  2. 2.Department of Emergency MedicineMedStar Georgetown University Hospital and MedStar Washington Hospital CenterWashington, DCUSA

Personalised recommendations