Appendicitis in pregnancy: how to manage and whether to deliver. (3rd April 2015)

• Record Type: Journal Article
• Authors: Weston, Polly; Moroz, Paul
• Is Part Of: Obstetrician & gynaecologist. Volume 17:Number 2(2015)
• Page Start: 105
• Page End: 110
• Publication Date: 2015-04-03
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1111/tog.12188
• Languages: English
• ISSNs: 1467-2561

Abstract

<abstract abstract-type="main" id="tog12188-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="tog12188-sec-0001" sec-type="section"> <title>Key content</title> <p> <list id="tog12188-list-0001" list-type="bullet"> <list-item> <p>Appendicitis in pregnancy is common.</p> </list-item> <list-item> <p>Whether to deliver a pregnant woman with appendicitis is a contentious issue.</p> </list-item> <list-item> <p>There are many uncertainties with diagnosis of appendicitis in pregnancy.</p> </list-item> <list-item> <p>Management of pregnant women with appendicitis requires a multidisciplinary approach involving obstetricians, anaesthetists and surgeons.</p> </list-item> </list> </p> </sec> <sec id="tog12188-sec-0002" sec-type="section"> <title>Learning objectives</title> <p> <list id="tog12188-list-0002" list-type="bullet"> <list-item> <p>To understand the modalities useful in accurate diagnosis of appendicitis in pregnancy.</p> </list-item> <list-item> <p>To learn about the range of clinical presentations and differential diagnoses.</p> </list-item> <list-item> <p>To appreciate the risks involved with different management options, anaesthetic and surgical.</p> </list-item> <list-item> <p>To be able to manage a pregnant woman with suspected appendicitis for the best possible outcome.</p> </list-item> </list> </p> </sec> <sec id="tog12188-sec-0003" sec-type="section"> <title>Ethical issues</title> <p> <list id="tog12188-list-0003" list-type="bullet"> <list-item> <p>Operative delivery of a pregnant woman with appendicitis may put her at unnecessary risk. How should she best be managed for the best possible outcome for her and the fetus?</p> </list-item> </list> </p> </sec> </abstract>