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Guidance for Managing Pregnant Patients Available From American College of Gastroenterology BETHESDA, MD -- December 7, 2007 -- Physicians who treat pregnant women now have guidance on ways to manage a common complaint among expectant mothers -- gastrointestinal symptoms -- thanks to an updated educational monograph published by the American College of Gastroenterology. "Given the large number of pregnancies each year complicated by GI disorders, gastroenterologists need to be aware of the underlying physiologic changes in GI motility during pregnancy and provide appropriate therapy for pregnant patients with special consideration being given to the safety of the mother and foetus," according to ACG President Amy E. Foxx-Orenstein, DO, FACG. The monograph entitled, "Pregnancy in Gastrointestinal Disorders," reviews the challenges that physicians face when they treat pregnant women with chronic digestive disorders, such as: · Constipation · Diarrhea · Hemorrhoids · Heartburn · Nausea · Vomiting · Hyperemesis gravidarum · Liver diseases · Sedation and surgery · Endoscopy · Inflammatory bowel disease Using an evidence-based approach, the authors of the monograph examine the physiologic changes that occur in pregnancy and that may play a role in the development of GI symptoms, such as increased levels of female sex hormones and/or increased intra-abdominal pressures from the enlarging uterus. The authors review the available pharmacological and alternative therapies that are safe and effective for treatment of GI symptoms in pregnancy and those that should be avoided. The authors also review the literature on the safety of endoscopy during pregnancy. "The major risk to the foetus is encountered during the first trimester of pregnancy," says Dr. Foxx-Orenstein. "It is important for physicians and expectant mothers to maintain a high level of concern for the use of prescription and over-the-counter drugs to treat GI symptoms during pregnancy." The ACG provides a full text of the research and highlights from the monograph at http://www.acg.gi.org/physicians/pdfs/PregnancyMonograph.pdf. SOURCE: American College of Gastroenterology E-mail this page to a friend or colleague! To print, use this version