Are Cesarean Section and Appendectomy in Pregnancy and Puerperium Interrelated? A Cohort Study

Frontiers in Surgery

article

Banuhan Şahin¹  Andrea Tinelli²  Goran Augustin⁵ 

[1] Gynecology and Obstetrics Department, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital;Department of Obstetrics and Gynecology and CERICSAL ,(Centro di RIcerca Clinica SALentino), “Veris Delli Ponti Hospital”;Division of Experimental Endoscopic Surgery, Imaging, Technology and Minimally Invasive Therapy, Vito Fazzi Hospital;Laboratory of Human Physiology, Faculty of Biological and Medical Physics, Phystech BioMed School, Moscow Institute of Physics and Technology ,(State University);School of Medicine University of Zagreb;Department of Surgery, University Hospital Centre Zagreb

关键词: appendectomy;    Cesarean section;    delivery;    postpartum;    pregnancy complications;    puerperium;   

DOI  :  10.3389/fsurg.2022.819418

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Introduction It is not known whether appendectomy for acute appendicitis (AA) increases the Cesarean section (CS) rate and whether CS increases the likelihood of AA and appendectomy in the early puerperium. In this study, delivery type and delivery outcomes and appendectomy during pregnancy and puerperium were analyzed. Methods This cross-sectional retrospective study was performed on 11,513 women, delivered during 2015–2020. Inclusion criteria were patients undergoing appendectomy for AA during pregnancy and the first 6 weeks after delivery. Evaluating parameters were age, parity, gestational week at birth, delivery type, and babies' birth weight. Results Thirty-two patients underwent appendectomy: 12 during pregnancy (2 in the first trimester, 6 in the second trimester, 4 in the third trimester) and 20 women during puerperium. 58.2% of pregnant women and 65% of puerperal women were submitted to CS. Discussion Half of the women who underwent appendectomy for AA during pregnancy may require urgent CS. The cause of acute abdomen in the postpartum period, especially in the first week, could be AA, especially in women delivered by CS.

【 授权许可】

CC BY