Problems such as appendicitis, pancreatitis and cholecystitis can arise in pregnancy. They must be managed aggressively to minimize any risk of associated peritonitis which can result in premature labour and associated sepsis. Diagnosis of such complications can be difficult and requires an experienced opinion. It is generally recommended that early recourse to surgery for an acute appendicitis is the best option to prevent the development of peritonitis with possible serious sequelae, including preterm delivery.
Inflammatory bowel disease can also complicate pregnancy. Pregnancy outcome is in general satisfactory, though there may be some increased risk of preterm birth and IUGR, particularly if there is active disease. It is in general treated in the same way in pregnancy as in the non-pregnant state, with steroids and sulphasalazine the mainstays of treatment.
Supplementation of haematinics and vitamin D may be required. Possible sequelae such as perineal and perianal disease and intra-abdominal adhesions need to be considered when discussing mode of delivery.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.