Appendicitis in Pregnancy
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Thyroidectomy in the first and third trimesters of pregnancy is associated with teratogenic effects from anesthetic agents, increased risk of fetal loss in the first trimester, and increased risk of preterm labor in the third trimester.
“Thyroidectomy is best avoided in the first and third trimesters of pregnancy because of teratogenic effects associated with anesthetic agents and increased risk of fetal loss in the first trimester and increased risk of preterm labor in the third.”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [67]
Thyroidectomy in the second trimester of pregnancy carries a 4.5%-5.5% risk of preterm labor.
“Optimally, thyroidectomy is performed in the second trimester; however, although it is the safest time, it is not without risk (4.5%-5.5% risk of preterm labor) (67,68).”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [67]
Anesthetic agents have teratogenic effects.
“Thyroidectomy is best avoided in the first and third trimesters of pregnancy because of teratogenic effects associated with anesthetic agents and increased risk of fetal loss in the first trimester and increased risk of preterm labor in the third.”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [67]
Although the second trimester is the safest time for thyroidectomy in pregnancy, it is not without risk, with a 4.5%-5.5% risk of preterm labor.
“Although it is the safest time, it is not without risk (4.5%-5.5% risk of preterm labor) (67,68).”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [67]
Thyroidectomy in the third trimester of pregnancy is associated with increased risk of preterm labor.
“Thyroidectomy is best avoided in the first and third trimesters of pregnancy because of teratogenic effects associated with anesthetic agents and increased risk of fetal loss in the first trimester and increased risk of preterm labor in the third.”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [67]
Thyroidectomy in the first trimester of pregnancy is associated with increased risk of fetal loss.
“Thyroidectomy is best avoided in the first and third trimesters of pregnancy because of teratogenic effects associated with anesthetic agents and increased risk of fetal loss in the first trimester and increased risk of preterm labor in the third.”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [67]
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The American Thyroid Association and American Association of Clinical Endocrinologists Taskforce on Hyperthyroidism and Other Causes of Thyrotoxicosis, Bahn, R. S., Burch, H. B., Cooper, D. S., Garber, J. R., Greenlee, M. C., Klein, I., Laurberg, P., McDougall, I. R., Montori, V. M., et al. (2011) · Thyroid · doi:10.1089/thy.2010.0417 · Cited by 898 · see citing works
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Appendicitis in pregnancy: New information that contradicts long-held clinical beliefs
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Acute appendicitis in the pregnant patient
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Appendicitis in pregnancy, Diagnosis, management and complications
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“The use of antibiotics for routine or nonperforated appendicitis is controversial, but they should be administered in cases where perforation, peritonitis, or abscess is considered [27,28,31].”
BackgroundGuidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy
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Management and outcomes of acute appendicitis in pregnancy—population‐based study of over 7000 cases
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Surgical gastrointestinal disorders during pregnancy
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The Acute Abdomen During Pregnancy
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“Appendiceal rupture has been reported to occur twice as often in the third trimester (69%) as it does in the first and second trimesters (31%).(13) Preterm contractions are common after appendectomy in pregnancy (83%), however, preterm labor and delivery is not common (5–14%).”
BackgroundThe diagnosis of appendicitis during pregnancy and maternal and fetal outcome after appendectomy
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Location of the Appendix in the Gravid Patient
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Gastrointestinal surgery and pregnancy
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“This can alter the pain pattern and could result in delayed diagnosis [18,19].”
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The acute abdomen and the obstetrician
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The incision of choice for pregnant women with appendicitis is through McBurney’s point
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ABDOMINAL PAIN DURING PREGNANCY
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Acute Appendicitis in Pregnancy
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Acute Appendicitis During Pregnancy: Different from the Nonpregnant State?
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Acute Abdominal Pain in Pregnancy
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PREGNANCIES COMPLICATED BY ACUTE APPENDICITIS
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Acute appendicitis in pregnancy
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ACUTE ABDOMINAL PAIN IN PREGNANCY
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“8–41 per 10,000 pregnancies) is not different from that in nonpregnant female patients of the same age [1, 2].”
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- Authors
- Weingold, A. B.
- Affiliations
- George Washington University (US)
- Corresponding author
- Weingold, Allan B.
- Venue
- Clinical Obstetrics and Gynecology
- Published
- 1983-12
- Volume
- 26
- Issue
- 4
- Pages
- 801-809
- ISSN
- 0009-9201 (ISSN-L)
- OpenAlex
- W2014780887
- Cited by
- 97
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2021: 1 · 2020: 5 · 2019: 2 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 5 · 2013: 1 · 2012: 3
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Keywords
- appendicitis, pregnancy, appendicitis in pregnancy, pregnancy complications
- MeSH terms
- Anesthesia, Anesthesia, Local, Appendectomy, Appendicitis, Diagnosis, Differential, Female, Humans, Obstetric Labor, Premature, Pregnancy, Pregnancy Complications, Risk
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