CESAREAN SECTION AND APPENDECTOMY IN PREGNANCY AND PUERPERIUM
COULD BE INTERRELATED? A COHORT STUDY
ABSTRACT
Objective: It is not known whether appendectomy for acute
appendicitis (AA) increases the Cesarean section (CS) rate and whether
CS increases the likelihood of AA and appendectomy in the early
puerperium. In this study, delivery type and delivery outcomes and
appendectomy during pregnancy and puerperium were analyzed.
Material and Methods: This cross-sectional retrospective study
was performed on 11513 women, delivered during 2015-2020. Inclusion
criteria were patients submitted to appendectomy for AA during pregnancy
and the first six weeks after delivery. Evaluating parameters were age,
parity, gestational week at birth, delivery type, and babies’ birth
weight.
Results: Thirty-two patients underwent appendectomy: 12 during
pregnancy (2 in the first trimester, 6 in the second trimester, 4 in the
third trimester) and 20 women during puerperium. 58.2% of pregnant
women and 65% of puerperal women were submitted to CS.
Conclusions: Half of the women who underwent appendectomy for
AA during pregnancy may require urgent CS. The cause of acute abdomen in
the postpartum period, especially in the first week, could be AA,
especially in women delivered by CS.