Outcomes of symptomatic gallstone disease in pregnant women: A retrospective study
Journal of Population Therapeutics and Clinical Pharmacology
; 30(2):e1-e7, 2023.
Article
in English
| EMBASE | ID: covidwho-20243408
ABSTRACT
Gallstone disease with advanced symptoms is one of the common abdominal emergencies during pregnancy and it is considered to be one of the most frequently reported non-obstetric surgical conditions in pregnant women. This study aimed to evaluate the outcomes of surgical cholecystectomy in pregnant women with symptoms of advanced gallstones. This is a retrospective analysis of 2814 pregnant women who attended various wards in government and private hospitals in the governorates of Diyala and Kirkuk in Iraq for more than 2 years, between February 2020 and June 2022. The hospital database was used to confirm the diagnosis of advanced gallstone symptoms in these pregnant women. The incidence of symptomatic gallstones in pregnant women, diagnosis and method of therapeutic management, cholecystectomy according to the pregnancy periods, and perinatal complications of patients according to therapeutic methods were determined. The results confirmed that out of 2814 pregnancies, only 126 (4%) had symptoms of gallstones. It was found that the majority of cases 67 (53%) were within the first trimester of pregnancy and the least 29 (23%) was observed in the second trimester. Acute cholecystitis was the generality 84 (67%) diagnosed in pregnant women with symptomatic gallbladder disease and only 9 (7%) of the patients had undergone prenatal cholecystectomy versus 117 (93%) who were managed conservatively. A total of 20 (16%) cases with undesirable complications were recorded, where 12 cases with low birth weight were noted, where 4 of them underwent surgery and 8 were treated conservatively. It was concluded that a large proportion of women suffer from symptoms of gallstones during pregnancy. Most cases can be managed conservatively, and intervention should be performed as often as needed.Copyright © 2023, Codon Publications. All rights reserved.
acute cholecystitis; cholecystectomy; gallstones symptoms; pregnancy periods; acute cholecystitis/di [Diagnosis]; acute pancreatitis/di [Diagnosis]; adult; article; birth weight; cholelithiasis; common bile duct stone/di [Diagnosis]; coronavirus disease 2019; female; first trimester pregnancy; gallstone/di [Diagnosis]; gestational age; government; human; Iraq; laparoscopic cholecystectomy; laparoscopy; low birth weight/co [Complication]; major clinical study; maternal mortality; missed abortion/co [Complication]; newborn disease; outcome assessment; pregnancy; pregnant woman; premature labor/co [Complication]; prevalence; retrospective study; second trimester pregnancy; cephalosporin; metronidazole; paracetamol
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
/
Observational study
Language:
English
Journal:
Journal of Population Therapeutics and Clinical Pharmacology
Year:
2023
Document Type:
Article
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