A Prospective Study on Pain Abdomen in Patients Presenting to Labour Room, GGH, Kadapa

Abstract

Introducton:Acute abdominal pain is the most common presenting symptom with which the patients present to labour room.Acute pain abdomen represents a unique diagnostic and therapeutic challenge .Pain abdomen may be due to obstetric and gynaecological causes. In pregnant women ,it may be due to physiological changes. So,it can be misdiagnosed. Effective evaluation is to be needed to combat this issue .Materials and Methods:This is a Prospective Study conducted in Labour room , Department of Obstetrics and Gynaecology, GGH , Kadapa over a period of one year(January 2020-December 2020) . Patients who were presented with acute pain abdomen were included in this study irrespective of the age .Patients with labour pains were excluded in this study. ResultsPain abdomen in pregnancy can occur due to obstetric reasons as well as for reasons unrelated to pregnancy. In this study,200 subjects were included .Among them 140 were obstetric patients and 60 were admitted due to gynaecological causes. Among the 140 patients , pain in 98 patients is due to obstetric causes and remaining 42 due to non- obstetric causes. Many of them were presented in first trimester then 3rd followed by 2ndtrimester.Ectopic pregnancy was the most common cause in 1st trimester, abortions were the major cause in 2nd trimester then Abruption in 3rd trimester. In pain abdomen due to Gynaecological causes, Ovarian cyst was found to be the most common cause followed by fibroid. 2 maternal deaths were noted in pregnant women which were due to non obstetric causes.ConclusionAcute abdomen represents a unique diagnostic and therapeutic challenge.Inpregnancy,the pain abdomen may be due to obstetric as well as non-obstetric etiologies.Ectopic pregnancy was to be the most common cause in obstetric patients. Ovarian cyst was found to be the most common cause in patients with gyanaecological causes of pain abdomen. 2 maternal deaths were noted and were due to non obstetriccauses.So,pain abdomen is a tricky diagnosis that require a thorough evaluation and proper care and treatment to combat the dreadful issues to the patients.