Wednesday March 20, 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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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.

Also Read- New Software Can Spot Potentially Lethal Heart Diseases

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

Preeclampsia Test can Quickly Identify Dangerous Condition During Pregnancy

Researchers at the Ohio State Wexner Medical Center have developed a fast, easy test to diagnose preeclampsia

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pregnancy
A new test can quickly identify a common and dangerous condition during pregnancy and help keep mothers and babies healthy and safe. VOA

A new test can quickly identify preeclampsia, a common and dangerous condition during pregnancy and help keep mothers and babies healthy and safe.

When Jessi Prizinsky was pregnant with her first child, her feet started swelling.

“Well, you hear, everybody tell you, you know, the swollen ankles, and get your feet up and all that,” Prizinsky said. “That was where I thought, ‘OK.’ And then it started to be, it kind of looks like it’s in my arms and hands, too.”

Most women expect some swelling when they are pregnant. But these symptoms can also be signs of preeclampsia.

It’s a complication of pregnancy that raises the mother’s blood pressure and affects the blood flow to the placenta. This can lead to smaller or premature babies. Untreated, it can be fatal to mom, or baby, or both.

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Most women expect some swelling when they are pregnant. But these symptoms can also be signs of preeclampsia. Pixabay

Fast, easy test developed

Researchers at the Ohio State Wexner Medical Center have developed a fast, easy test to diagnose preeclampsia. That’s where Dr. Kara Rood practices maternal and fetal medicine.

“One of the hard parts with preeclampsia is there’s a lot of symptoms of just pregnancy alone, and other medical conditions that have similar symptoms that the women experience, like high blood pressure, headaches, changes in vision. Those can be attributed to a lot of other things,” Rood said.

Preeclampsia is more serious if it occurs earlier in the pregnancy, or in a woman who had high blood pressure before getting pregnant.

Rood says managing this condition early is best for both mothers and babies.

Pixabay
Researchers at the Ohio State Wexner Medical Center have developed a fast, easy test to diagnose preeclampsia. That’s where Dr. Kara Rood practices maternal and fetal medicine. Pixabay

“Without the certainty of this test aiding in the diagnosis,” she said, “we as providers are definitely overcautious, as this is definitely something we don’t want to miss because of the life-threatening results of a misdiagnosis for moms and babies.”

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Listen to your body

Because of her preeclampsia, Prizinsky was induced three weeks early. She had a successful second pregnancy and has this advice for other women.

“The biggest thing is listening to your body,” she said.

The test is so easy, women can take it at home, and preeclampsia can be treated as soon as it develops. The researchers expect the test to be approved by the Food and Drug Administration in the next few years. (VOA)