Gastroenterology Unit, Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
GUT Research Group, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
BMC Gastroenterol. 2022 May 4;22(1):219. doi: 10.1186/s12876-022-02287-w.
Gastroesophageal reflux disease (GERD) is one the most common medical complaints in pregnant women. Some women continue to experience GERD symptoms after delivery. Effective management of GERD symptoms is important to improve productivity and quality of life. Management of heartburn in pregnant and breastfeeding women involves lifestyle modifications, dietary modifications, non-pharmaceutical remedies and pharmaceutical drugs. For most patients, lifestyle/dietary modifications are helpful in reducing GERD symptoms. For patients who require a more intense intervention, various types of pharmaceutical drugs are available. However, the suitability of each treatment for use during pregnancy and lactation must be taken into consideration. This article explores the reported efficacy and safety of these treatment options in pregnant and breastfeeding women. Recommended treatment algorithm in pregnant and breastfeeding women have been developed.
胃食管反流病（GERD）是孕妇最常见的医学主诉之一。一些女性在分娩后仍会出现 GERD 症状。有效管理 GERD 症状对于提高生产力和生活质量非常重要。管理孕妇和哺乳期妇女的烧心症状包括生活方式改变、饮食改变、非药物疗法和药物治疗。对于大多数患者，生活方式/饮食改变有助于减轻 GERD 症状。对于需要更强化干预的患者，各种类型的药物治疗都可用。然而，在考虑每种治疗方法在妊娠和哺乳期使用的适用性时，必须将其纳入考虑。本文探讨了这些治疗选择在孕妇和哺乳期妇女中的报告疗效和安全性。已经为孕妇和哺乳期妇女制定了推荐的治疗方案。
