XXXX in pregnancy.

@entity1 @entity1744 @entity1321 @entity39
@entity1321 during pregnancy and in the puerperium is an uncommon complication, although cases are probably underreported. Fortunately, the mortality rate has improved over the decades. Overall, it was greater than 60% in 1900. By the 1930s, maternal mortality had dropped to 21% and fetal mortality decreased to 50%. Modern rates of maternal mortality have shown continued improvement, with Goldthorp reporting an incidence of 12% in 1966. Over the last 30 years the maternal mortality rate has decreased to approximately 6%, as noted in various series published in the English literature. Fetal mortality rates, however, have remained significantly high. They have remained constant at between 20% and 26%. Furthermore, only one third of @entity1 with prenatal @entity1744 complete term pregnancies after operative resolution of their obstruction. These findings emphasize the importance of remembering that two @entity1 are at risk when @entity1321 complicates pregnancy. The delay from presentation to admission and from admission to definitive management continues to be a significant cause of morbidity and mortality. A high index of suspicion is mandated in this @entity1 population, especially in those @entity1 presenting with a history of previous abdominal or pelvic surgery. The high incidence of @entity39 bowel found in this subset of @entity1 demonstrates the need for aggressive surgical intervention. Only through diligent and urgent intervention can the morbidity and mortality be decreased. The diagnosis and treatment of a pregnant @entity1 suspected of having a @entity1744 should be no different from those given to a nonpregnant one.
