Gastrointestinal and liver disease in pregnancy
- PMID: 23760701
- PMCID: PMC5922671
- DOI: 10.7861/clinmedicine.13-3-269
Gastrointestinal and liver disease in pregnancy
Abstract
Gastrointestinal (GI) conditions are common in women of childbearing age. They often present before pregnancy but can arise de novo during pregnancy. The physiological changes that occur during pregnancy can influence the differential diagnosis of common GI presentations, affect the interpretation of diagnostic tests and restrict the use of diagnostic or therapeutic procedures. In this article, we summarise the clinical features, investigation and management of common GI and liver conditions that are incidental to pregnancy, and describe the specific features of pregnancy-related disorders that are less frequently encountered by general physicians. Newer developments in areas that are increasingly encountered in obstetric medical practice, including pregnancy after bariatric procedures, are also described.
Keywords: HELLP syndrome; Pregnancy; hyperemesis gravidarum; hypertensive disorders of pregnancy; liver disease; obstetric cholestasis.
References
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- Powrie RO, Greene MF, Camann W, editors. de Swiet’s Medical Disorders in Obstetric Practice. 5th edn. Chichester: Wiley-Blackwell; 2010.
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- Cantwell R, Clutton-Brock T, Cooper G, et al. Saving mothers’ lives. Reviewing maternal deaths to make motherhood safer: 2006–2008. The eighth report on confidential enquiries into maternal deaths in the United Kingdom. BJOG. 2011;118(suppl 1):1–203. - PubMed
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