There are so many cases of surgical emergencies and abdominal disorders complicated by pregnancy that a series of diseases can come to mind when you close your eyes: appendicitis in pregnancy, cholecystitis in pregnancy, cholangitis in pregnancy, intestinal obstruction in pregnancy, pancreatitis in pregnancy …… Each one is a vivid story of a painful experience. It’s been in the works for some time to write a short science article on pancreatitis in pregnancy, there are always many trivial matters at hand. March before a previous treatment of patients consult me about blood lipids, this is a 3 years ago due to acute pancreatitis in late pregnancy emergency cesarean section a parallel peripancreatic drainage, I still remember the results of his blood lipids before the operation: triglycerides 24.6 mmol / L. Intraoperative abdominal cavity a large amount of mizuno watery effusion, due to the cesarean section and surgical treatment, the postoperative recovery is good. It was her first child, and the joy of being a first-time mother was accompanied by a heavy wound. After the operation, she did enough health education, and she didn’t have another pancreatitis in the past 3 years. Now she has the courage to get pregnant again, and she is already in her 6th month. She routinely checks her blood lipids during her perinatal care every month, and consults me on diet and treatment when she has any symptoms. Acute pancreatitis is a common surgical emergency abdomen, most of which can be cured, a small portion of which rapidly develops multi-organ failure and is life-threatening. Acute pancreatitis is a variety of etiological factors lead to pancreatic enzyme activation in the pancreas caused by a line of tissue self-digestion, edema, hemorrhage and even necrosis of the inflammatory response. Most of the manifestations of epigastric pain, nausea and vomiting, acute pancreatitis mortality rate of about 10%, severe pancreatitis mortality rate of up to 50% or more. Common causes include cholelithiasis, alcoholism, overeating, and trauma. Acute pancreatitis in pregnancy occurs most often in late pregnancy and puerperium, fierce, rapid progression of the disease, the prognosis is very poor, and can be compared to amniotic fluid embolism. The etiology of acute pancreatitis in pregnancy is dominated by cholelithiasis and hyperlipidemia, but also physiological changes during pregnancy, which are multifactorial. Currently, it is believed that the elevation of serum progesterone in pregnant women during pregnancy leads to an increase in bile, an increase in cholesterol secretion, a decrease in hepatic and intestinal circulation, a relaxation of biliary smooth muscle, a decrease in biliary tone, and a decrease in gallbladder emptying, and with the growth of the uterus during pregnancy, the mechanical compression of the duodenum and biliary system causes bile to be stagnant, and calcium to be deposited in the formation of stones, which triggers the occurrence of cholestatic pancreatitis; the effect of hormones in the body during pregnancy results in a higher viscosity and a higher risk for pancreatitis. The effect of various hormones in the body during pregnancy leads to increased blood viscosity, pancreatic microcirculation obstacles, so that the pancreas is prone to ischemic necrosis, coupled with a high-fat, high-sugar, high-protein diet during pregnancy, stimulating the pancreas to over-secretion; the hydrolysis of triacylglycerol metabolism in patients with hyperlipidaemia to free fatty acids directly damages the pancreatic microvessels and pancreatic cells have a toxic effect. In short, because of the abnormal lipid metabolism caused by pregnancy, resulting in pancreatic vascular microcirculation disorders leading to acute pancreatitis. Therefore, for those who have had acute pancreatitis during pregnancy, it is crucial to remove the predisposing factors, and for those who have combined cholelithiasis, they should be actively operated to remove gallbladder stones and common bile duct stones during the preparation for pregnancy. For those with hyperlipidemia, it is important to avoid a greasy, high-fat diet, have regular rechecks of blood lipids, take prevention as the mainstay, combine prevention and treatment, and avoid alcoholism, overeating, and other factors. Reasonable diet is especially important, should avoid the so-called high soup diet, all kinds of thick soup such as broth, chicken soup, goat soup, etc., appropriate consumption of pure lean meat; corn, oats, low-fat milk; fungus, shiitake mushrooms, onions, garlic, leeks, winter melon, carrots; apples, grapes, sweet potatoes, eggplants, hawthorn; nori, kelp, and so on. Of course, there is also a need for regular review, that is, in addition to dietary attention, in order to prevent further episodes of pancreatitis during pregnancy, you also need to be escorted by a professional doctor.