Managing Complications in Pregnancy and Childbirth: - IAWG

S-122 Abdominal pain in later pregnancy and after childbirthTABLE S-16 Cont.Diagnosis of abdominal pain in later pregnancyand after childbirthPresenting Symptom andOther Symptoms and SignsTypically PresentSymptoms and SignsSometimes PresentProbable Diagnosis• Dysuria• Abdominal pain• Spiking fever/chills• Increased frequency andurgency of urination• Lower abdominal pain• Low-grade fever• Rebound tenderness• Retropubic/suprapubicpain• Loin pain/tenderness• Tenderness in rib cage• Anorexia• Nausea/vomiting• Lower abdominal pain • Light vaginal bleeding• Fever/chills• Shock• Purulent, foul-smelling lochia• Tender uterus• Lower abdominal pain anddistension• Persistent spiking fever/chills• Tender uterus• Lower abdominal pain• Low-grade fever/chills• Absent bowel sounds• Abdominal pain• Adnexal mass on vaginalexaminationAcutepyelonephritis,page S-102• Abdominal distension Appendicitis, page• AnorexiaS-117• Nausea/vomiting• Paralytic ileus• Increased white blood cells• No mass in lowerabdomen• Site of pain higher thanexpected• Poor response toantibiotics• Swelling in adnexa orpouch of Douglas• Pus obtained uponculdocentesis• Rebound tenderness• Abdominal distension• Anorexia• Nausea/vomiting• Shock• Palpable, tender discretemass in lower abdomen• Light vaginal bleedingMetritis, page S-110Pelvic abscess, pageS-110Peritonitis, pageS-111Ovarian cyst b , pageS-117