Talking to pregnant moms about acute appendicitis in pregnancy

It is indeed not easy to carry a child in October. There are many things that you will go through, and because of the reduced immunity of the pregnant woman during pregnancy, she is prone to diseases. Among them, acute appendicitis in pregnancy is more common, but also to the fetal baby and pregnant mothers caused by the threat of disease. First, the causes of acute appendicitis in pregnancy: 1, a history of chronic appendicitis before marriage or pregnancy, resulting in an acute attack due to pregnancy. This is the main reason why we actively mobilize girls with appendicitis for surgery. 2.Since with the development of the fetus the uterus will continue to grow, sometimes it will push and press the appendix, make the appendix twisted, folded, squeezed so that the feces and foreign bodies into the appendix cavity can not be discharged, resulting in obstruction and then inflammation. Second, the pathological characteristics of acute appendicitis in pregnancy and its harm: 1, due to the uterus during pregnancy continues to grow, the appendix push, so the clinical pain in the abdomen and the doctor’s examination of the site of pressure pain is not in the right lower abdomen of the normal appendix, easy to cause misdiagnosis; 2, due to the uterus grows and affects the large omentum of the appendiceal inflammation of the parcel of the limit, so that inflammation is easy to spread, and is very easy to cause perforation of the appendix, leading to a wider range of Wider peritonitis; 3. The bacteria of appendicitis and the endotoxin it produces are very harmful to the pregnant woman and the fetus, and can cause bacteremia ~ sepsis ~ septicemia. Severe cases can cause fetal death; 4, persistent abdominal pain and inflammation of the uterus stimulation can lead to uterine spasm, contractions, resulting in miscarriage or preterm labor. Then what problems should be noted in the treatment of pregnancy attack appendicitis? 1, in general for relatively mild pregnancy appendicitis or conservative treatment, but with anti-inflammatory drugs and other drugs should pay attention to can not be used on pregnant women, especially the fetus liver, kidney, ear and other toxic effects of drugs. For example, aminoglycosides, nitrazoles and so on. It is strictly prohibited to do x-ray, CT examination, so as not to cause radiation to the fetus; 2, if the appendix inflammation is more serious, severe abdominal pain, high fever, peritonitis is serious, laboratory leukocytes increased, consider the appendix has been serious suppuration, necrosis, perforation, etc. Then still to save the life of pregnant mothers as the first consideration, surgical resection. Throughout pregnancy, the first and second trimesters are generally the most problematic (miscarriage or preterm labor). The middle trimester is the ideal and relatively safe window for surgery. The surgical operation must be gentle and secure to avoid irritation to the uterus; 3. Breastfeeding should be terminated immediately after the onset of appendicitis in pregnant mothers, either by using retractable medication to return breast milk or by pumping out the milk with a breast pump and throwing it away; 4. Obstetricians and gynecologists must observe the condition of the pregnant woman and the fetus in close consultation and dispose of them at any time. Appendicitis in pregnancy is a very tricky problem to deal with, but with strict individualized treatment, it will bring the pregnant mother and the fetus baby through it smoothly and safely.