PELVIC PAIN IN THE FIRST QUARTER: DIAGNOSIS AND MANAGEMENT.
Main Article Content
Keywords
diagnosis, pelvic pain, pregnancy, treatment
Abstract
During pregnancy, pain is one of the most representative discomforts since it can generally be derived from labor (6). This represents a great problem in the proper development of pregnancy, taking into account that between 20 and 30% of pregnant women present certain types of pain in the first half of pregnancy General objective: Define the diagnosis and management of pelvic pain in the first trimester of gestation pregnant patients through literature review. Methodology: narrative literature review of studies, meta-analysis, systematic reviews, controlled clinical trials, cohort studies, literature reviews that report information on pelvic pain in pregnant women in the first trimester from 2018 to 2023, in English and Spanish. Results: 21 articles were chosen, where we found that the most common obstetric causes of pelvic pain in pregnancy are abortion and ectopic pregnancy, the gynecological causes are fibroids, ovarian cyst, adnexal torsion, PID, uterine incarceration and round ligament pain, Non-gynecological causes are constipation, appendicitis, and nephrolithiasis. The most accessible diagnostic method to determine the cause of pelvic pain will be ultrasound. Conclusions: The goal in evaluating patients with pelvic pain is to quickly identify those who have a serious or even life-threatening etiology for their symptoms and require urgent intervention.
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Jonnathan Octavio Freire Arévalo
Hospital General de Macas, Orcid: 0009-0006-6579-7665, Macas – Ecuador
Dr. Freddy Rosendo Cárdenas Heredia
PHD. en Ciencias de la salud, Universidad de la Luz Maracaibo Venezuela, Docente Universidad Católica de Cuenca, Orcid: 0000-0002-2582-0430, Cuenca - Ecuador