Management of Complicated Appendicitis During Pregnancy Must

Medically Reviewed By : Dr. Kamal Kant Kohli

Published On 2022-05-19 03:45 GMT | Update On 2022-05-19 03:45 GMT

Till date we have sparse data regarding the optimal treatment for complicated appendicitis during pregnancy, hence a recent study in JAMA Network Open pointed out that immediate operation of appendicitis was associated with lower odds of infectious complications, including amniotic infection and sepsis, compared with successful and unsuccessful nonoperative management. When nonoperative management failed and required delayed operation, it was associated with significantly higher odds of preterm labor, preterm delivery, or abortion.

The cohort study Included pregnant women discharged with the diagnosis of complicated appendicitis. Study patients were categorized into 3 groups: those with successful nonoperative management, failed nonoperative management with delayed operation, or immediate operation for complicated appendicitis.

Among 8087 pregnant women with complicated appendicitis, nonoperative management of complicated appendicitis was successful among 11.8% and failed among 32.7%, who underwent delayed operation; 55.5% underwent immediate operation.

Hence, it was concluded that immediate operation for complicated appendicitis in pregnant women was associated with lower odds of maternal infectious complications without higher odds of perinatal or other maternal complications. Also, failed nonoperative management was associated with worse clinical outcomes.

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Dr. Nandita Mohan

Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751

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Management of Complicated Appendicitis During Pregnancy Must

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