THE OBSTETRIC TACTICS IN ACUTE APPENDICITIS IN PREGNANCY
Abstract
women pregnancy resulted in urgent, at 7 (15.5%) and women late preterm birth. Artificial termination of pregnancy for medical reasons was 4 patients with destructive appendicitis in the first trimester of pregnancy. In late pregnancy 8 patients performed a caesarean section at the lower end and appendectomy of medial access. Among the women in the control group 29 (76.3 per cent) have pregnancy ended urgent delivery (P<0.05). In the control group, there was a spontaneous miscarriage, women’s 3 x 2 (df=1)-0.02 p=0.8813, yates corrected x 2-0.06 r=0.8058. In small stages of pregnancy complications of appendicitis forms obstetric tactics should be aimed at preserving reproductive functions, rather than on maintaining pregnancy. Given the presence in the arsenal of highly effective antibacterial preparations at term and limited forms of peritonitis may serves as a c-section delivery.
About the Authors
A. G. KhasanovRussian Federation
F. F. Badretdinova
Russian Federation
R. F. Magafurov
Russian Federation
Z. R. Shevchenko
Russian Federation
A. R. Nurieva
Russian Federation
O. C. Mamedova
Russian Federation
References
1. Savel’eva G.M. Handbook of Obstetrics and Gynecology, and Perinatology [Spravochnik po akusherstvu i ginekologii i perinatologii]. Moscow. 2006; 192-6.
2. Samoilova Yu.A. The clinic, diagnosis, obstetrical and surgical tactics in pregnant women with acute appendicitis. Phd. Diss. [Klinika, diagnostika, akusherskaya i khirurgicheskaya taktika u beremennykh s ostrym appenditsitom: avtoref diss. … kand. med. nauk]. Moscow. 2007.
3. Strizhakov A.N., Podzolkova N.M., Baev O.R. Akusherstvo i ginekologiya. 1998; 4: 47-53.
4. Strizhakov A.N., Chernousov A.F., Samoilova Yu.A., Rybin M.V. Pregnancy and acute appendicitis [Beremennost’ i ostryi appenditsit]. Moscow. 2010.
5. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann emerg med. 1986; 15: 1048-1049.
6. Borst A.R. Acute appendicitis: pregnancy complicates this diagnosis. JAAPA. 2007; 20: 36-38.
7. Hee P., Viktrup L. The diagnosis of appendicitis during pregnancy and maternal and fetal outcome after appendectomy. Int. J. Gynaecol. Obstet. 1999; 65: 129-135.
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Review
For citations:
Khasanov A.G., Badretdinova F.F., Magafurov R.F., Shevchenko Z.R., Nurieva A.R., Mamedova O.C. THE OBSTETRIC TACTICS IN ACUTE APPENDICITIS IN PREGNANCY. Obstetrics, Gynecology and Reproduction. 2014;8(4):19-23. (In Russ.)

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