Tuesday June 18, 2019

Removal of Gallblader During Pregnancy May Spike Up Risk of Preterm Delivery

Also, women who underwent the operation during the third trimester were twice as likely to deliver a preterm baby and almost twice as likely to have abnormal maternal outcomes

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Technology, Privacy
A model wears the Owlet Band pregnancy monitor at the Owlet booth at CES International, Jan. 9, 2019, in Las Vegas. The device can track fetal heart rate, kicks and contractions. VOA

Getting The gallbladder removed during pregnancy may increase the risk of preterm delivery and hospital re-admissions among others, researchers said.

Also, women whose gallbladder has been removed during pregnancy are more likely to experience longer hospital stays than those who delay the operation until after childbirth.

As pregnant women produce extra progesterone, the risk of development of gallstones increases. When these stones become problematic, causing extreme pain, a surgeon may recommend removal of gallbladder by performing cholecystectomy, a type of surgery.

But women who postponed cholecystectomy until after childbirth had better maternal outcomes.

“In light of these findings, whenever possible, women with symptomatic gallstones during pregnancy should wait as long as possible to let the baby mature before having cholecystectomy,” said Henry A. Pitt, Professor at Temple University in the US.

Pregnant Women
Lady with her baby. Pixabay

For the study, the researchers compared 403 pregnant women who underwent the operation within 90 days prior to childbirth with 17,490 women who had the procedure within three months after childbirth.

The findings, published in the Journal of the American College of Surgeons, showed that maternal delivery outcomes, including eclampsia and haemorrhage for the mother, and preterm delivery were significantly worse when cholecystectomy was done during pregnancy as opposed to postpartum.

Eclampsia is a potentially dangerous pregnancy complication characterised by high blood pressure. The eclampsia rate for pregnant women who underwent cholecystectomy in the third trimester was one per cent higher than those who chose to wait until after childbirth.

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Additionally, the haemorrhage and preterm delivery rates for women who had the cholecystectomy during pregnancy was three per cent and 12 per cent higher, respectively.

Also, women who underwent the operation during the third trimester were twice as likely to deliver a preterm baby and almost twice as likely to have abnormal maternal outcomes. (IANS)

Next Story

Delhi High Court Agrees to Hear Plea Seeking to Increase Prescribed Length of Pregnancy

Sahni also pleaded that unmarried women and widows are equally entitled to terminate a pregnancy under the MTP Act

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Delhi High Court. Source- Wikimedia

The Delhi High Court on Monday agreed to hear a plea seeking to increase the prescribed length of a pregnancy from a period of “20 weeks to 24 weeks”.

A division bench of Chief Justice Rajendra Menon and Justice Brijesh Sethi said it will hear the plea on Tuesday. The plea filed by social activist and lawyer Amit Sahni was mentioned before the bench on Monday.

In his plea, Sahni has sought direction to the government to replace or suitably extend the length of pregnancy from “20 weeks” by a further period of four to six weeks by bringing suitable amendments in Section 3(2)(b) of Medical Termination of Pregnancy (MTP) Act.

Section 3(2)(b) of the Medical Termination of Pregnancy (MTP) Act prohibits abortion of a foetus after 20 weeks of pregnancy.

The petitioner said that Section 3(2)(b) of the Medical Termination of Pregnancy Act is against the right to privacy as it completely prohibits termination of pregnancy in case the fetus is suffering from severe abnormality even after a period of 20 weeks.

“There is substantial risk that if the child were born, it would suffer from such physical or mental abnormalities as to be seriously handicapped,” the plea said.

Where pregnancy is caused by rape or due to failure of a device used by a married woman or by her husband, the MTP Act is totally silent on it, the plea said adding that it makes termination of pregnancy as an offence punishable under Indian Penal Code if the same is not done in accordance with the MTP Act.

Technology, Privacy
A model wears the Owlet Band pregnancy monitor at the Owlet booth at CES International, Jan. 9, 2019, in Las Vegas. The device can track fetal heart rate, kicks and contractions. VOA

The plea said that the fetal abnormalities are detected appropriately between 18 to 20 weeks and the period of one-two weeks is too less for the would-be parents to take the difficult call on whether to keep their baby or to abort it.

“…the lack of legal approval moves abortion to the underground (illegal manner) and they are done in unhygienic conditions by untrained persons, thus putting thousands of women at risk,” read the plea.

It also demanded empowering of women with sexual rights, legal protection against sex crimes and sex choices both in their own interest and for the sake of reducing the fertility rate as a whole.

It said that abortion beyond a period of 20 weeks is permitted only if continuing the pregnancy poses a substantial risk to the woman’s life. But the law does not consider the factum of serious abnormalities suffered by the child in womb and are detected after the 20th week.

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Sahni has cited Supreme Court judgments that a woman’s right to privacy, dignity and bodily integrity should be respected. He also mentioned many European countries including France, UK and Italy and even Nepal which allow abortion after 20 weeks if fetal abnormalities are discovered.

He requested the court to hold that the right to abort the pregnancy is a fundamental right of the woman’s body sovereignty and each woman has the sole right to make a decision about her body in the context of carrying on a pregnancy or to terminate the same, subject to checks as provided under the MTP Act or further checks, which may be provided.

Sahni also pleaded that unmarried women and widows are equally entitled to terminate a pregnancy under the MTP Act. (IANS)