Appendicitis during pregnancy

An inflammation of the appendix most often becomes the cause of operations in pregnant women. Appendicitis during pregnancy in many cases is associated with the uterus of the expectant mother.

The first priority is correct diagnosis. The operation is inevitable, but it has some differences from the usual one, and postoperative rehabilitation is different.

Disease development process

The pathological process begins with a violation of the blood supply to the appendix. Causes of appendicitis, not only during pregnancy, are his squeezing, clogging of food masses, infection. But the size of the uterus, the weight of the fetus often have a decisive influence. Nevertheless, doctors call the initial stage simple.

Then comes the superficial or catarrhal stage. Inside the appendix, abscesses are formed, and a purulent mass begins to accumulate. This process continues for about a day, then comes the stage of destruction. On it, the development of appendicitis, as usual, can continue in various forms: phlegmonous, apostematic, ulcerative, gangrenous. Any of them can lead to damage to neighboring organs, which are subject to purulent inflammation. If you do not have surgery, the pus will fall into the abdominal cavity, which will lead to very serious complications.

The duration of the development of pathology ranges from two to four days. But in the third trimester of pregnancy, appendicitis develops rapidly, so sometimes it takes just six hours.

The usual symptoms of the disease are generally characteristic of pregnant women. They appear consistently:

  • pains in the abdomen first;
  • loss of appetite, nausea, can vomit;
  • the temperature rises, but not above 37.5.

Appendicitis during pregnancy

Symptoms manifest as general well-being

In addition, during the examination, the doctor determines the painful reaction to palpation. To do this, two or three fingers gently press on the stomach, then abruptly release them.

Sign of appendicitis during gestation can also be a forced posture of a woman. On the right side, with pursed legs, it becomes a little easier to endure the pain.

Pain may be reduced after a bowel movement, gas ejection. Sometimes it happens that in the first stage there are none at all. On the other hand, in late periods, due to the displacement of the process, pain can be felt under the ribs, near the navel, in the lower back, the perineum, to give to the legs.

The first symptom of appendicitis during pregnancy is abdominal pain. Only then may appear additional. But their value is usually devalued by the very position of the woman.

  1. Painful sensations may indicate a threatened miscarriage, an ectopic pregnancy, and infectious and inflammatory diseases.
  2. Nausea, vomiting, fever – these signs are similar to toxicosis.

Because of this, about half of the cases of appendicitis in women in the position are diagnosed incorrectly, precious time for the operation is missed. On the other hand, quite often already during appendectomy, it turns out that the vermiform process is healthy. Therefore, accurate diagnosis is so important.

Sharp pains are a clear sign

Specify the preliminary diagnosis, based on the survey and examination, laboratory and instrumental methods. Urinalysis will show an elevated white blood cell count.

In about four to five women out of ten, it is possible to recognize appendicitis in such a safe procedure during pregnancy as an ultrasound scan. But for the rest, the lack of a result is due to the fact that it is not possible to consider the process, and the diagnosis remains unconfirmed.

Then resort to other procedures – computed tomography and MRI. For their holding in pregnant women use drugs of low concentration or do not use them at all. The accuracy of these methods is very high.

If you suspect appendicitis during pregnancy, laparoscopy can be done, which will give the doctor the opportunity to see the real picture inside the abdominal cavity. To do this, thin tubes with optics that transmit a picture on the screen are inserted through small incisions. If inflammation is detected, they can immediately begin the operation.

Appendicitis during pregnancy

Laparoscopy is less traumatic for a pregnant woman.

This method is considered the least traumatic; after it, small scars heal faster. But it is still not well understood. Therefore, a woman must rely solely on the opinion and qualifications of the surgeon. Read reviews who did the Biopsy of the Chorion’s villus.

Severity

If you find any symptoms of appendicitis during pregnancy, be sure to immediately consult a doctor. It is advisable to measure the temperature, monitor your condition in order to accurately and consistently describe it.

When the diagnosis is confirmed, the operation is inevitable. Otherwise, very serious consequences are possible for both mother and baby:

  • peritonitis;
  • development of multiple abscesses;
  • inflammatory process of the veins of the liver – pylephlebitis.

These effects of appendicitis during pregnancy lead to blood poisoning, the inability to save the pregnancy, in very difficult situations, death is likely. Worst of all, at the last stage of the inflammation of the appendix, the nerves die, the pain subsides. But after the break of the process they renew with a new force, spreading all over the stomach, this is peritonitis.

Of course, the operation itself carries some risk to the health of both organisms. But the forecast after it is quite favorable, especially if you follow all the recommendations of the doctor. Therefore, to cut appendicitis is not only possible, but necessary during pregnancy. If, of course, the presence of inflammation is established.

Technique of appendectomy normal. There are differences in preparation, anesthesia, rehabilitation period. Appropriate antibiotics and other drugs are selected. Anesthesia may be general, spinal or epidural. At the end, do not put the load and ice on the stomach.

Removal by operation

After removal of appendicitis, such pregnancy complications are possible:

  • preterm delivery;
  • complications of labor (bleeding, contractions of contractions);
  • postoperative infection;
  • intestinal obstruction;
  • very rarely – intrauterine infection, premature detachment of the child’s seat, oxygen starvation of the baby.

Therefore, careful monitoring of the state of the pregnant woman and the fetus. The risk of complications for the child is higher if appendicitis during pregnancy was removed in the second trimester.

All pregnant women who have undergone surgery are automatically included in the risk group. The basis – the infection transferred by the kid. The control by doctors will be enhanced, that is, they will need to be visited more often. Additional examinations are also scheduled.

The most dangerous are seven days after surgery. If it was carried out in the last weeks of pregnancy, and after appendicitis, childbirth began literally in a few days, they are carried out as carefully as possible. The abdomen may be bandaged tightly so that the seams do not open. To accelerate the expulsion of the fetus is allowed dissection of the perineum.

Causes and ways to prevent illness

Until now, the exact causes of this disease have not been established. But most often it is associated with improper nutrition, infection, frequent constipation, blockage of the entrance from the colon to the appendix. Appendicitis during pregnancy, especially in the second half, provokes a squeezing process of the uterus.

Given these reasons, you can use certain preventive measures, although their effectiveness has not been scientifically proven.

  1. Avoid accidental infections.
  2. Avoid constipation.
  3. Keep track of food, food should include a lot of fiber, lactic acid products, meat should not be too much.
  4. It is enough to move, to start the morning with gymnastics.
  5. There is no husk of seeds, grape seeds, that is, something that can block the entrance to the appendix.

No doctor can know exactly how appendicitis hurts, especially during pregnancy. Therefore, any suspicion is a direct road to the hospital. Previously, the operation will cause less negative consequences. It is still better to be convinced many times that there is no danger than to bring yourself and your own child to serious complications.

After all, this pathology develops in no more than five pregnant women out of a hundred. In the first trimester, about a third of all cases occur, in the second – about 60%. Judging by the reviews of those who underwent appendicitis during gestation, everything usually ends safely. Even with complications, preterm delivery with proper care also has a favorable outcome.

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