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Diverticulitis in Pregnancy Is Associated with High Complication Rates.

Dayle Colpitts1, Allyson M Hynes2, Jarrett Santorelli3

  • 1Inova Trauma and Acute Care Surgery, Inova Fairfax Medical Campus, Falls Church, Virginia, USA.

Surgical Infections
|April 10, 2026
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Summary
This summary is machine-generated.

Diverticulitis during pregnancy leads to high rates of maternal and fetal complications. This study highlights the need for better management guidelines for pregnant patients with diverticulitis.

Keywords:
diverticulitispregnancypregnancy complicationssurgical complications

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Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology
  • Public Health

Background:

  • Diverticulitis is an emerging cause of obstetric infection due to earlier onset and advanced maternal age.
  • Limited data exists on diverticulitis in pregnancy and no specific treatment guidelines are available.
  • This study addresses the frequency and complications of diverticulitis during pregnancy.

Purpose of the Study:

  • To determine the incidence of hospitalization for diverticulitis in pregnant patients.
  • To identify common maternal and fetal complications associated with pregnancy and diverticulitis.

Main Methods:

  • Retrospective cohort study utilizing the National Readmissions Database (NRD) from 2016-2019.
  • Identified pregnant patients with International Classification of Diseases-10 codes for diverticulitis.
  • Analyzed demographics, gestational age, interventions, readmissions, and maternal/fetal complications.

Main Results:

  • 470 pregnant patients with diverticulitis were identified; 72.3% were in the third trimester.
  • 34.0% of admissions resulted in delivery within 48 hours; 3.8% had complicated diverticulitis.
  • Maternal complication rate was 41.3%, fetal complication rate was 41%, including 1.9% fetal loss. No maternal deaths reported.

Conclusions:

  • Diverticulitis during pregnancy is linked to substantial maternal and fetal complications.
  • Further research is needed to establish optimal outcomes and best practices for this patient group.