A Clinical Study on Acute Surgical Emergencies and Their Management in Pregnant Women

BACKGROUND most of the diagnostic and management decisions regarding pregnant will follow the usual tenets of surgery, there are important differences in pregnant patient which the treating surgeon should be aware of. We wanted to retrospectively the incidence and types of surgical emergencies treated in women in a tertiary hospital. 52 patients with, non-gynaecological and non-obstetric surgical , or gynaecological and non-obstetric surgical emergencies were . Patients with complaints of pain in the abdomen, vomiting and fever included. Patients with obstetrical emergencies and medical diseases were . Relevant history from all the patients was elicited, followed by clinical and relevant investigations. Surgical interventions performed were and the data was analysed using standard statistical methods. 52 pregnant women with acute surgical emergencies were studied. The patients aged between 25 years and 45 years with a mean age of 33.16± 2.45 years. were 23/52 (44.23%) primi gravida, 21/52 (40.38%) women were second and the remaining 08/52 (15.38%) were Multipara. Pregnant women in trimester were 18/52 (34.61%), 19/52 (36.53%) were in second trimester 15/52 (28.84%) were in third trimester. Pregnant women with urolithiasis 8/52 (15.38%), with appendicitis were 07/52 (13.46%), sub-occlusion obstruction were 07/52 (13.46%), with cholecystitis were 06/52 (11.53%), with intestinal obstruction were 05/52 (09.61%), with burns were 03/52 (05.76%), with incarcerated hernia were 02/52 (03.84%), with salpingitis 01/52 (01.92%), with pelvic mass were 03/52 (05.76%), with adnexal were 02/52 (03.84%), with pancreatitis were 04/52 (07.69%), with crush were 02/52 (03.84%) and with intestinal perforation in 02/52 (03.84%) . the management of acute surgical emergencies in pregnant women, the normal and physiological changes occurring during pregnancy sometimes the clinical evaluation and early diagnosis as well as the use of diagnostic difficult. The higher complication rate in the treatment of the surgical in the pregnant patient may be due to delay in diagnosis and also of fear of unnecessary procedures and tests. These patients require and timely attention to details of signs, increased suspicion, serial physical , clinical awareness and systematic evaluation and appropriate considering the risk to foetus and mother.