title: Non Obstetric Causes and Presentation of Acute Abdomen among the Pregnant Women.
abstract: OBJECTIVE
  To identify the non-obstetric causes and presentation of acute abdomen among pregnant women.
  
  
  METHODS
  This was a cross sectional hospital-based study among 128 pregnant women by face to face interview using a semi-structured questionnaire. This study was conducted at the Gynecology & Obstetric Ward of 250 Bed General Hospital, Noakhali, Bangladesh, from January to August 2013. Data were analyzed by a software package used for statistical analysis (SPSS) version 11.5 (SPSS, Inc., Chicago, IL, USA).
  
  
  RESULTS
  Mean age of participants was 25±4 years. Our findings showed that 81% were Muslim, 67% were lower middle income group, as well as 47% completed primary level of education. The results revealed that 28% had biliary ascariasis, 24% had peptic ulcer disease and 10% had lower urinary tract infection. We also found that 6% had acute pyelonephritis, 6% had acute gastroenteritis, 6% had acute cholecystitis, 6% had acute appendicitis, 2% had acute pancreatitis, 3% had choledocolithiasis, 2% had ovarian solid mass, 2% had twisted ovarian cyst, 4% had renal colic, and 1% had renal calculus. In non-obstetrical presentation of acute abdomen, the study found that 84% of respondents complained their pain lasting more than 24 hours. Besides, half of respondents felt pain in epigastrium and right hypochondrium. Cramping, prickling and aching type of pain were more, while 66% suffered from continuous pain. Our results also showed that 73% did not explain any aggravating factor and relieving factor, and the rest said food, fasting state and position change aggravated pain as well as relieved pain.
  
  
  CONCLUSIONS
  The study concludes that precise diagnosis of the acute abdomen in pregnant women by continual updating of abdominal assessment knowledge, and clinical skills is necessary in the management of abdominal pain in obstetric settings.
authors: Department of Community Nutrition, Bangladesh University of Health Sciences (BIHS), Dhaka, Bangladesh.
authors: Monoarul
authors: M
authors: Haque
authors: Department of Community Medicine, Noakhali Medical College, Noakhali, Bangladesh.
authors: Farah
authors: F
authors: Kamal
authors: Department of Community Medicine, Bangladesh University of Health Science, Dhaka, Bangladesh.
authors: Shahanaz
authors: S
authors: Chowdhury
authors: Department of Community Medicine, Bangladesh University of Health Science, Dhaka, Bangladesh.
authors: Monir
authors: M
authors: Uzzaman
authors: Department of Gynecology and Obstetrics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
authors: Itrat
authors: I
authors: Aziz
keywords: Acute Abdomen; Aggravating and Relieving Factor; Epigastric Pain
references: Am J Gastroenterol. 1977 Aug;68(2):167-70
references: 920717
references: World J Surg. 2006 Aug;30(8):1500-6
references: 16874446
references: Int J Gynaecol Obstet. 1998 Jul;62(1):31-6
references: 9722122
references: Diagn Gynecol Obstet. 1980 Fall;2(3):185-91
references: 7439014
references: Am J Emerg Med. 1995 May;13(3):301-3
references: 7755822
references: Br Med J. 1973 Jul 21;3(5872):165-7
references: 4720768
references: Ann Emerg Med. 2001 Aug;38(2):156-9
references: 11468611
references: Surg Clin North Am. 1988 Apr;68(2):385-98
references: 3279553
references: Clin Obstet Gynecol. 1985 Jun;28(2):375-80
references: 4017325
references: Gastroenterol Clin North Am. 1992 Dec;21(4):751-76
references: 1478733
references: South Med J. 1986 May;79(5):576-7
references: 3704723
references: Gastroenterol Clin North Am. 2003 Mar;32(1):1-58
references: 12635413
references: Am J Obstet Gynecol. 1985 Jun 15;152(4):456-61
references: 4014339
references: Obstet Gynecol. 1989 Jan;73(1):11-2
references: 2535762