How to Treat Appendicitis in Pregnancy

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Appendicitis occurs when the appendix becomes infected. Symptoms include abdominal pain and fever although this does not always occur in pregnant women. Appendicitis is an emergency condition, and pregnancy further complicates diagnosis and treatment. According to Appendicitis Review, it is seen in one of 1400 pregnancies.
According to Dana Taylor, MD, FACS, doctors will make a decision about whether emergency surgery is required. If it is not, they may try to delay it until after the pregnancy. If emergency surgery is required as it often is, it is vital to avoid delays to prevent a host of problems including premature delivery, miscarriage and even death.
Laparoscopy is one type of surgery to remove the infected appendix that involves a smaller incision. There have been significant concerns about the safety of laparoscopy for pregnant woman. Advantages include a shorter hospital recovery time, less dependence on narcotics, ability for oral intake earlier after the surgery and a postoperative ambulation that is easier, according to Taylor. However, in some cases it can be dangerous to the fetus.
Laparoscopic visualization can be hampered by the uterus, and blood flow loss to the placenta can occur. Doctors often try to avoid hurting the gravid uterus by utilizing the Hassid technique. Regardless of its advantages, many doctors feel that it is too dangerous and should be avoided in pregnancy in favor of a laparotomy.
Laparotomy is another surgical option to remove the appendix that includes a larger incision through the wall of the abdomen. One of the major risks for surgery in a pregnant woman is preterm labor and delivery. The surgeon will carefully monitor the fetus as the procedure occurs and the appendix is removed. The surgery should be performed as quickly as possible to reduce the risk.
Medication will be given during and after the surgery to aid in the process, prevent infection and avoid pain. The exact medication will depend on the patient’s specific surgery and condition, but may include antibiotics and painkillers.
Because an appendectomy carries risks for pregnant women regardless of whether they truly have appendicitis, it is important to obtain as accurate diagnosis as possible. Researchers hope to cut down on the incidence of false positives. Ultrasound is often utilized because it is safe during pregnancy, but in some cases a CT scan may be required.
Appendicitis can occur at any time during pregnancy and typically requires immediate treatment. It is important for a pregnant woman to seek medical attention right away if she suspects that she may be experiencing this condition.