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Indian Journal of Obstetrics and Gynecology

Volume  4, Issue 3, Sept - Dec 2016, Pages 261-265
 

Original Article

Clinical Presentation, Diagnosis and Treatment of Non Obstetric General Surgical Emergencies Complicating Pregnancy, in Tribal Population of South Rajasthan

P.K. Bhatnagar

Associate Professor, Dept. of Obstetrics and Gynecology, Pacific Institute of Medical Sciences (PIMS), Ambua Road, Village Umarda, Girva, Udaipur Rajasthan, 313015.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.4316.11

Abstract

 High maternal and peri- natal mortality and morbidity is cause of concern in INDIA more so in rural uneducated and economically poor women [1]. Non obstetrical surgical conditions account for approximately 1-2% of cases [2]. Detail history, thorough and repeated clinical examination, high level of suspicion, hemoglobin and blood counts, ultrasonography, Xray of chest and abdomen, CT-MRI - SCAN, peritoneal lavage, Diagnostic laparoscopy and exploratory laparotomy as and when required provides help in diagnosis. Early aggressive resuscitation followed by immediate and prompt surgery is required to achieve a favorable outcome in the management of the pregnant patient who presents with an emergency general surgical problem [3]. Present study includes all the non obstetric surgical emergencies and trauma to pregnant patients, managed in The Hospital of Pacific Institute Of Medical Sciences (PIMS), Village Umarda, Girva, Udaipur, Rajasthan from Jan 2015 to Aug 2016. Aim of present study is to highlight the importance of early diagnosis and treatment by a team comprising of general surgeon, anesthetist, obstetrician, pediatrician, and nursing staff. In the present study there had been no maternal death, two fetal losses and high morbidity in the form of prolonged hospitalization in three cases.

 Keywords: Non Obstetric General Surgical Emergency; Appendicitis in Pregnancy; Cholelithiasis in Pregnancy; Bowel Obstruction in Pregnancy; Trauma to Pregnant Women; Acute Abdominal Pain in Pregnancy; Malignancies Associated with Pregnancy


Corresponding Author : P.K. Bhatnagar