Abdominal pain in pregnancy: a rational approach to management

The challenges during pregnancy include the anatomical changes causing displacement of the intra-abdominal organs by the gravid uterus and consequently, the absence or modification of the “classical” symptoms and signs as well as the physiological changes which alter the normal ranges of blood tests. In addition, anatomical distortion secondary to a gravid uterus may lead to difficulties in interpreting the results of radiological investigations, the presence of a fetus may pose a clinical dilemma with regard to performing tests and investigations. This is because some investigations may have an adverse impact on fetal wellbeing, and, any delay in performing these investigations in a timely manner so as to safeguard the fetus may increase the risks of complications to the mother.