Causes of acute pancreatitis in pregnant women and mothers

Recently, there are more patients with acute pancreatitis in the ward, especially pregnant women and mothers, so we have a brief explanation of this problem. There are two main reasons for acute pancreatitis in pregnant women and mothers. The first reason is hyperlipidemia. In order to have a healthy baby and feed a healthy baby, once a pregnancy is confirmed, it immediately becomes the center of the family, the baby, and even more so after the child is born. The mother-to-be and her family immediately give her special care. They eat the best, nutritious food, and reduce their daily activities and physical training in order to give the child in the womb adequate nutrition so that the fetus can grow up healthy. However, the fetus does not absorb much nutrition, and most of the nutrition is piled up on the mother-to-be. As a result, hyperlipidemia appears and the viscosity of the blood increases. With this, hypercholesterolemia can cause an increased incidence of gallbladder stones, and a more serious problem is that severe hyperlipidemia can cause acute pancreatitis. Recently, we have admitted patients with acute pancreatitis in pregnant women who have severe hyperlipidemia, whose blood drawn is cloudy and gray-brown, with half of the blood being fat. The automatic analyzers in the hospital are unable to detect the biochemical indicators in their blood. Patients with hyperlipidemia-induced lipogenic pancreatitis have severe symptoms and can even endanger the lives of pregnant women and fetuses, making treatment very difficult. Therefore, it is important to take precautions and reduce the intake of fatty diets. The second cause is gallbladder stones. With the improvement of the living standard of the population and the change of dietary habits, the incidence of gallbladder stones in the population is now high, and many young women have gallbladder stones before marriage. Although there is never a painful attack, yet the stones keep growing there. After pregnancy and after childbirth, the large amount of greasy diet produces hyperlipidemia on the one hand, and on the other hand the intake of food containing high fat causes strong contraction of the gallbladder, emptying its contents of bile to aid intestinal digestion. At this time, small stones and bile sludge in the gallbladder may also be drained into the common bile duct and then into the duodenum. This draining process may damage the common opening of the bile duct and pancreatic duct, causing poor excretion of pancreatic juice in the pancreatic duct, while the secretion of pancreatic juice also increases after eating fatty foods. This process will further aggravate the high pressure in the pancreatic duct, introduce the rupture of the small pancreatic duct and capillary pancreatic duct, and the pancreatic fluid will seep into the normal pancreatic tissue, leading to the activation of pancreatic enzymes in the pancreatic fluid, causing the destruction of the pancreatic tissue itself and producing acute pancreatitis. Therefore, for women who have gallbladder stones before pregnancy, it is important to be fully aware of the prevention of acute pancreatitis, pay attention to prevention and avoid a high-fat diet. Larger stones usually do not cause gallbladder drainage; however, some people have multiple small stones with biliary sludge deposits in the gallbladder, and their gallbladder drainage is more likely. If necessary, you can take some choleretic drugs before preparing for pregnancy to reduce the deposition of bile salts in the gallbladder, which is meaningful to prevent acute pancreatitis after pregnancy. However, drugs that may have an effect on fetal development should be avoided to strictly prevent the possibility of teratogenicity.