Abstract
This research aims to reduce maternal morbidity and mortality and attain favorable outcomes for women in Iraq and analogous resource-constrained settings through the consideration of the above systemic barriers and the implementation of evidence-based practices. The findings will enable policymakers, healthcare providers, and public health practitioners to give priority to maternal health and ensure safe surgical services for the vulnerable.
Cholecystectomy is a common surgical intervention for gallstone disease that has specific risks to both pregnant and postpartum women, especially when resource-constrained settings are concerned, such as in Iraq. The above study focuses on maternal outcomes, as well as the risk factors associated with cholecystectomy in Iraqi women, looking into perioperative complications, pregnancy-related risks, and changes on the reproductive aspect and quality of life in the long run. A retrospective observational study was carried out on a hundred and twenty patients aged from 18 to 45 who underwent cholecystectomy during or after pregnancy. Data were analyzed using SPSS version 22 descriptive and inferential statistics for associations between variables. Findings indicate that laparoscopic cholecystectomy, with fewer associated complications, is under-exercised due to limited resources and expertise. Open surgeries, commoner in Iraq, have a higher association with postoperative complications and longer hospital stays. Risk factors such as delayed diagnosis, preexisting conditions (like obesity and diabetes), and timing of surgery (during pregnancy), in fact, have considerable adverse effects on maternal outcomes. Systemic impediments like the healthcare underpinnings exacerbate such issues. Recommended is the early diagnosis to adopt, better surgical training, better healthcare resources, and the development of evidence-based national guidelines. Much stress from this study urges the need for targeted intervention to lessen maternal morbidity and mortality in Iraq as part of a more wide-going health upliftment on maternal care.
This study assessed the crucial maternal outcomes and complications pertaining to cholecystectomy in pregnant and postpartum women in Iraq. The results highlight the inequitable burden women bear in resource-poor settings, along with systemic adverse conditions such as poor health infrastructure, late diagnosis, and lack of access to advanced surgical techniques, escalating the risk. The outcomes of laparoscopic cholecystectomy are better; however, due to resource constraints, it is not being performed often enough. Open surgery is therefore relied upon even though it might have increased risks of complications. Risk factors such as preexisting conditions, timing of surgery, and social inequities add to the adverse maternal and fetal outcomes.