Dalvi Sujata
Nowrosjee Wadia Maternity Hospital, Mumbai, India.
J Obstet Gynaecol India. 2023 Apr;73(2):102-106. doi: 10.1007/s13224-023-01752-0. Epub 2023 Apr 6.
Pregnant women are affected by gastrointestinal and liver disorders. These may or may not be related to pregnancy. Unrelated conditions are pre-existent or coincidental during pregnancy. Pregnancy may promote symptoms/alter course of new or pre-existing disease resulting in complications only during pregnancy. This in turn can have adverse effect on clinical course affecting mother and fetus. The management remains same but its effect on mother and fetus needs to be kept in mind with pro-active treatment. Severe liver diseases though rare during pregnancy can occasionally be life threatening. Pregnancy after bariatric surgery/liver transplant is possible but with thorough counseling and needs multidisciplinary approach. Endoscopy for GI problems, if required can be carried out by gastroenterologist with special attention. Hence, this article, for quick reference to tackle GI and liver disorders in pregnancy.
孕妇会受到胃肠道和肝脏疾病的影响。这些疾病可能与怀孕有关,也可能无关。无关的病症在怀孕前就已存在或在孕期偶然出现。怀孕可能会促使新的或已有的疾病出现症状/改变病程,从而仅在孕期引发并发症。这反过来又会对影响母亲和胎儿的临床病程产生不利影响。治疗方法保持不变,但在积极治疗时需要考虑其对母亲和胎儿的影响。严重的肝脏疾病虽然在孕期很少见,但偶尔可能会危及生命。减肥手术后/肝移植后的怀孕是有可能的,但需要进行全面的咨询,且需要多学科方法。如果需要,胃肠病学家可以在内镜检查胃肠道问题时给予特别关注。因此,本文旨在快速参考,以应对孕期的胃肠道和肝脏疾病。