No difference in perinatal mortality rates were identified
Appendecectomy during pregnancy is linked to increased risk of spontaneous and planned preterm birth, maternal and neonatal morbidity
Risk of preterm birth (10.6%) comparable to previous studies
Higher risk of preterm birth may be due to appendectomy and cesarean being scheduled for the same admission and planned earlier delivery to preempt perinatal morbidity or fetal loss
No differences between open or laparoscopic surgical approach was seen
The authors suggest
Given the increased risk of preterm birth, availability of neonatal care or the need to transfer to a tertiary facility should be considered; as should the use of maternal corticosteroids and magnesium sulphate for neuroprotection (for those women with expected births <30 weeks gestation)
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