Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-19T09:36:39.716Z Has data issue: false hasContentIssue false

Chapter 33 - Gastrointestinal Disorders in Pregnancy

from Section 4 - Maternal Medicine

Published online by Cambridge University Press:  20 November 2021

Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
Get access

Summary

Gastrointestinal (GI) conditions are common in women of childbearing age. The physiological changes that occur during pregnancy can influence differential diagnosis, affect the interpretation of diagnostic tests and prevent the use of diagnostic or therapeutic procedures [1]. This chapter will summarize the clinical features, pathophysiology, diagnosis and management of common hepatology and luminal GI conditions occurring in pregnancy.

Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Obstetrics & Maternal-Fetal Medicine
, pp. 277 - 286
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Frise, C, Williamson, C. Gastrointestinal and liver disease in pregnancy. Clin. Med. 2013;13:269–74.Google Scholar
Tran, TT, Ahn, J, Reau, NS. ACG clinical guideline: Liver disease and pregnancy. Am. J. Gastroenterol. 2016;111:176–94.Google Scholar
EASL Clinical Practice. Guidelines: Management of cholestatic liver diseases. J Hepatol. 2009;51:237–67.Google Scholar
Obstetric Cholestasis, Green-top Guideline No 43. London: Royal College of Obstetricians and Gynaecologists, 2011.Google Scholar
Debbs, RH. Cholestasis of pregnancy. BMJ Best Pract. 2017. Available online.Google Scholar
Westbrook, RH, Dusheiko, G, Williamson, C. Pregnancy and liver disease. J. Hepatol. 2016;64:933–45.Google Scholar
Sibai, B. Diagnosis, controversies and management of the syndrome of haemolysis, elevated liver enzymes and low platelet count. Obs. Gynaecol. 2014;123:618–27.Google Scholar
Martin, JN Jr, Brewer, JM, Wallace, K, et al. HELLP syndrome and composite major maternal morbidity: importance of Mississippi Classification system. J Matern Fetal Neonatal Med. 2013 Aug;26(12):1201–6. doi: 10.3109/14767058.2013.773308Google Scholar
Haram, K, Svendsen, E, Abildgaard, U. The HELLP syndrome: clinical issues and management. A review. BMC Pregnancy Childbirth. 2009;9:115.Google Scholar
Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynaecol. 2013;122:1122–31.Google Scholar
Boregowda, G, Shehata, HA. Gastrointestinal and liver disease in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2013;27:835–53.Google Scholar
Society for Maternal-Fetal Medicine (SMFM), Dionne-Odom, J, Tita, A, Silverman, NS. #38: Hepatitis B in pregnancy-screening, treatment and prevention of vertical transmission. Am J Obstet Gynecol. 2016;214:614.CrossRefGoogle Scholar
Redddik, K, Jhaveri, R, Gandhi, M et al. Pregnancy outcomes associated with viral hepatitis. J Viral Hepat. 2011;18:e394–8.Google Scholar
American Association for the Study of Liver Diseases. AASLD-IDSA recommendations for testing, managing and treating adults infected with hepatitis C virus. Hepatology. 2015;62:932–54.Google Scholar
Esposti, S. Pregnancy in patients with advanced chronic liver disease. Clin. Liver Dis. 2014;4:62–8.Google Scholar
Garcia-Tsao, G, Sanyal, A, Grace, N et al. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Hepatology. 2007;46:922–38.Google Scholar
Keller, J, Frederking, D, Layer, P. The spectrum and treatment of gastrointestinal disorders during pregnancy. Nat Clin Pract Gastroenterol Hepatol. 2008;5:430–43.Google Scholar
Cullen, G, O’Donoghue, D. Constipation and pregnancy. Best Pr Res Clin Gastroenterol. 2007;21:807–18.Google Scholar
Mowat, C, Cole, A, Windsor, A, et al. Guidelines for the management of inflammatory bowel disease in adults. Gut. 2011;60:571607.Google Scholar
Vermeire, S Carbonnel, F, Coulie, PG, et al. Management of inflammatory bowel disease in pregnancy. J Crohns Colitis. 2012;6:811–23.Google Scholar
Kalla, R, Ventham, N, Satsangi, J et al. Crohn’s disease. BMJ. 2014;349:g6670.Google Scholar
Nguyen, G, Seow, C, Maxwell, C. The Toronto consensus statements for the management of inflammatory bowel disease in pregnancy. Gastroenterology. 2016;150:734–57.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×