anatomy and physiology habdhiska jidhka aadanaha iyo shaqadiisa

1. Abdominal Pain inAbdominal Pain in
PregnancyPregnancy
DR-MAXAMUD C/LAHI QAXIILEDR-MAXAMUD C/LAHI QAXIILE
DR KURTUNDR KURTUN

2. Differential Diagnosis
• Physiological
• Pregnancy-related Pathology
• Unrelated to Pregnancy

3. Physiological Causes of
Abdominal Pain
• The corpus luteum
• Round ligament pain
• Ureteric obstruction
• Nerve entrapment
• Constipation and colic
• Symphyseal separation
• Acid reflux & oesophagitis
• Umbilical skin stretching

4. Pregnancy Related
Pathology
• Ectopic gestation
• Placental bleeding –
• ie miscarriage & abruption
• Premature labour
• Severe pre eclampsia
• Ovarian cyst complication
• Tubal torsion
• Fibroid degeneration
• Uterine rupture

5. Abdominal Pain Unrelated
to Pregnancy
• Appendicitis
• (PID)
• Urinary tract infection/stone
• Cholecystitis and biliary colic
• Pancreatitis
• Splenic artery rupture
• Volvulus sigmoid/Caecum

6. Dimensions in
Management
• Maternal anxiety
– And also that of family
• Pregnancy physiology
– Alters symptoms, signs and laboratory tests
• Therapeutic paralysis
– Medical
– Surgical

7. Current Controversies
• Role of laparoscopy
– Diagnostic
– Therapeutic
• Risk of Pre term labour
– A role for tocolysis?

8. Any Questions orAny Questions or
Comments?Comments?
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