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Williams Obstetrics, 23e
| Section VII. Obstetrical Complications > |
Chapter 49. Gastrointestinal Disorders
Sections: Gastrointestinal Disorders: Introduction, General Considerations, Disorders of the Upper Gastrointestinal Tract, Disorders of the Small Bowel and Colon, References.
Topics Discussed: gastrointestinal disorders and pregnancy.
Excerpt:"During normal pregnancy, the gastrointestinal tract and its appendages undergo remarkable anatomical, physiological, and functional changes. These changes, which are discussed in detail in Chapter 5, Gastrointestinal Tract, can appreciably alter clinical findings normally relied on for diagnosis and treatment of gastrointestinal disorders. One example is nausea and vomiting, which is frequent early in normal pregnancy. If these symptoms persist or develop later, they may be erroneously attributed to normal physiological changes, and a serious pregnancy complication or nonobstetrical problem may be overlooked. In another example, most obstetricians, but not most internists or gastroenterologists, are aware that epigastric or right upper quadrant pain can be an ominous sign of severe preeclampsia. Finally, as pregnancy progresses, gastrointestinal symptoms become more difficult to assess, and physical findings are often obscured by the large uterus, which displaces abdominal organs and can alter the location and intensity of pain and tenderness...."
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