Document Detail


Laparotomy during pregnancy: an assessment of diagnostic accuracy and fetal wastage.
MedLine Citation:
PMID:  4720768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a series of 48,482 pregnancies laparotomy was undertaken 74 times for conditions not associated with pregnancy (1 in 655 pregnancies). It showed no abnormality in 26 cases; ovarian cysts and acute appendicitis were the commonest pathological findings. The preoperative diagnosis was proved correct in 53% of cases, and in 66.2% laparotomy proved to be necessary for an alternative diagnosis.The fetal loss rate after surgery was 23%. Spontaneous abortion was more likely in the presence of peritonitis, with fluid in the peritoneal cavity, or when operative procedures involving the ovary were performed within the first trimester. The risk of precipitating labour following diagnostic laparotomy is negligible, provided no unnecessary surgical manoeuvres are undertaken.
Authors:
P Saunders; P J Milton
Related Documents :
10027138 - Pulmonary embolism during labor and the effect on the fetus monitored with oxycardiotoc...
8599308 - From oxygen content to pulse oximetry: completing the picture in the newborn.
16339208 - Maternal ghrelin plays an important role in rat fetal development during pregnancy.
686168 - Galactosyltransferase in fetal, neonatal, and adult colon: relationship to differentiat...
20492398 - Dramatic response of a patient with pregnancy induced idiopathic pulmonary arterial hyp...
1577248 - Effects of arachidonic acid, prostaglandin f2 alpha, prostaglandin e2, and arginine vas...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British medical journal     Volume:  3     ISSN:  0007-1447     ISO Abbreviation:  Br Med J     Publication Date:  1973 Jul 
Date Detail:
Created Date:  1973-10-02     Completed Date:  1973-10-02     Revised Date:  2010-10-26    
Medline Journal Info:
Nlm Unique ID:  0372673     Medline TA:  Br Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  165-7     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / etiology*
Appendicitis / diagnosis
Diagnosis, Differential
Female
Fetal Death / etiology
Gestational Age
Humans
Laparotomy* / adverse effects
Methods
Ovarian Cysts / diagnosis
Peritonitis / diagnosis
Pregnancy
Pregnancy Complications / diagnosis*,  surgery
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Psychiatric nurse as therapist.
Next Document:  The effects of fibre length and calcium ion concentration on the dynamic response of glycerol extrac...