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Acute abdomen in pregnancy

M El-Amin Ali1, M Yahia Al-Shehri, Z M Zaki

  • 1Department of Obstetrics and Gynaecology, The Medical School, Abha, Saudi Arabia.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|August 29, 1998
PubMed
Summary

Acute abdomen in pregnancy due to non-obstetric causes is high in Saudi Arabia. Early surgical intervention improves maternal and fetal outcomes, while tocolytics are ineffective and cause side effects.

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology
  • Maternal-Fetal Medicine

Background:

  • Acute abdomen in pregnancy presents diagnostic challenges due to altered symptomatology.
  • Non-obstetric causes of acute abdomen are frequently encountered in pregnant populations.
  • Pregnancy can mask or mimic symptoms of acute abdominal conditions.

Purpose of the Study:

  • To determine the incidence of acute abdomen in pregnancy from non-obstetric causes in a Saudi population.
  • To investigate the etiology and altered presentation of acute abdomen during pregnancy.
  • To evaluate the impact of early surgical intervention and tocolytics on maternal and fetal health.

Main Methods:

  • Retrospective analytical study conducted at Asir Central Hospital, Saudi Arabia.

Related Experiment Videos

  • Inclusion of sixty pregnant Saudi females admitted with acute abdomen of non-obstetric origin.
  • Analysis of outcomes related to early surgical intervention and tocolytic use.

    • Main Results:

    • A high incidence of acute abdomen (0.39%) due to non-obstetric causes was observed.
    • Pregnancy-induced physiological changes masked clinical signs, leading to delayed surgical intervention and increased maternal morbidity.
    • Early surgical intervention significantly improved perinatal outcomes (P < 0.001) and reduced maternal morbidity (P < 0.05).

    Conclusions:

    • Non-obstetric acute abdomen in pregnancy occurs with higher frequency in this population.
    • Delayed surgical intervention negatively impacts maternal and fetal health.
    • Tocolytics demonstrated ineffectiveness and adverse fetal side effects, without improving fetal outcomes.