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Acute pancreatitis in pregnancy

C P Chen1, K G Wang, T H Su

  • 1Department of Obstetrics and Gynecology, MacKay Memorial Hospital, Taipei, Taiwan, R.O.C.

Acta Obstetricia Et Gynecologica Scandinavica
|September 1, 1995
PubMed
Summary

Most cases of acute pancreatitis during pregnancy are mild, with low maternal and fetal mortality. Early diagnosis and treatment are crucial for minimizing risks in pregnant patients.

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Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology

Background:

  • Acute pancreatitis in pregnancy is a rare but significant clinical concern.
  • This study investigates the clinical course and outcomes of acute pancreatitis during gestation.

Purpose of the Study:

  • To analyze the characteristics and management of acute pancreatitis in pregnant women.
  • To demonstrate that most pancreatitis attacks during pregnancy are mild and have manageable outcomes.

Main Methods:

  • Retrospective case series of eight pregnant patients with acute pancreatitis over five years.
  • Review of patient history, focusing on etiological factors like gallstones and hyperlipidemia.
  • Conservative management for pancreatitis and dietary interventions for hyperlipidemia were employed.
Keywords:
AsiaBiologyChinaDeveloping CountriesDiseasesEastern AsiaGallbladder DiseasesInfectionsLipidsPhysiologyPregnancyPregnancy ComplicationsPregnancy, Third TrimesterReproductionResearch MethodologyRetrospective StudiesSigns And SymptomsStudiesTaiwanTreatment

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Main Results:

  • No maternal mortality was observed; one fetal death occurred.
  • Associated conditions included gallstones and hyperlipidemia in most cases.
  • Pregnancy complications like preterm labor and preeclampsia were noted; most patients improved postpartum.

Conclusions:

  • Early diagnosis and prompt treatment are vital for improving outcomes in pregnant patients with acute pancreatitis.
  • Gallstones and hyperlipidemia appear to be significant risk factors.
  • Appropriate management can minimize maternal and fetal mortality despite the rarity of this condition.