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Duchess July 27, reply. Propofol seems to be a safer option compared to benzodiazepines, as no animal or human teratogenic effects have been reported [ 59 ].
Both propofol and midazolam should be avoided during the first trimester. Fentanyl should not be prescribed . The medical approach to the pregnant women is challenging. Lose fat safely while pregnant
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Lose fat safely while pregnant have to evaluate the possibility of unique diseases during pregnancy and to choose the best therapeutic strategy, keeping in mind options Lose fat safely while pregnant are harmless for the fetus.
In this review we have summarized the essential diagnosis and management that should be considered by gastroenterologists when approaching a pregnant woman, in order to improve our clinical guidance. Specific considerations are necessary concerning IBD and endoscopic exams during this period. We also emphasized the need for a multidisciplinary approach in order to prevent pregnancy complications and to define the best strategy and timing for delivery.
Conflict of Interest: None.
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National Center for Biotechnology InformationU. Journal List Ann Gastroenterol v. Ann Gastroenterol. Published online Apr Author information Article Lose fat safely while pregnant Copyright and License information Disclaimer. Received Jan 25; Accepted Feb This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. This article has been cited by other articles in PMC. Abstract Pregnancy is characterized by numerous physiological changes that may lead to a diversity of symptoms and Lose fat safely while pregnant to gastrointestinal complaints, such as heartburn, nausea and vomiting, or constipation.
Keywords: Pregnancy, gastrointestinal symptoms, inflammatory bowel disease, liver, endoscopy, treatment, management. Introduction Pregnancy is a challenging period for the gastroenterologist. Table 1 Synopsis of the diseases during pregnancy.
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Lose fat safely while pregnant Open in a separate window. Materials and methods An electronic Adelgazar 10 kilos of PubMed was conducted in order to identify relevant literature on the physiopathology, clinical presentation, treatment, maternal and fetal outcome for both gastrointestinal and liver diseases during pregnancy; this search was complemented by the most recent guidelines available ECCO, ACG, EASL, Royal College of Obstetrics and Gynaecology.
Physiological changes during pregnancy Pregnancy is characterized by a hemodilution state induced Lose fat safely while pregnant volume expansion due to retention of salt and water. Table 2 Summary of treatments of common gastrointestinal complaints. Liver diseases Liver diseases during pregnancy can be divided into disorders unique to pregnancy, those coincidental with pregnancy, and pre-existing liver diseases exacerbated by pregnancy [ 39 ].
Figure 1. Acute fatty liver of pregnancy ALFP ALFP is a rare but potential serious disorder that occurs in the third trimester of pregnancy between the 30 th and 38 th weeks or early postpartum [ 40 ]. Endoscopy in pregnancy Gastrointestinal endoscopy is usually considered a safe procedure. Concluding remarks The medical approach to the pregnant women is challenging.Pomada
Footnotes Conflict of Interest: None. References 1. Liver diseases in pregnancy: diseases unique to pregnancy. World J Gastroenterol. Alterations in physiology and anatomy during pregnancy.
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Augustin G, Majerovic M. Lose fat safely while pregnant acute abdomen during pregnancy. Body C, Christie JA. Gastrointestinal diseases in pregnancy Nausea, vomiting, hyperemesis gravidarum, gastroesophageal reflux disease, constipation, and diarrhea. Gastroenterol Clin North Am. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev.
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Management of gastrointestinal and liver diseases during pregnancy. Can nausea and vomiting be treated with ginger extract? Eur Rev Med Pharmacol Sci. Ondansetron in pregnancy and risk of adverse fetal outcomes.
N Engl J Med. The management of nausea and vomiting of Lose fat safely while pregnant and hyperemesis gravidarum. Gastroesophageal reflux disease in pregnancy. Best Pract Res Clin Gastroenterol. Ching C, Lam S.
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Antacids: indications and limitations. Contemporary understanding and management of reflux and constipation in the general population and pregnancy: a consensus meeting. Aliment Pharmacol Ther.
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Richter JE. Review article: the management of heartburn in pregnancy. The safety of proton pump inhibitors PPIs in pregnancy: a meta-analysis. Am J Gastroenterol. Mahadevan U. Gastrointestinal medications in pregnancy. Pasternak B, Hviid A. Use of proton-pump inhibitors in early pregnancy and the risk of birth defects. Diet, physical inactivity and the prevalence of constipation throughout and after pregnancy. Matern Child Nutr. Cullen G, O'Donoghue D. Constipation and pregnancy. Wald A.
Constipation, diarrhoea and symptomatic hemorrhoids during pregnancy. European Collaborative study group on Lose fat safely while pregnant Bowel Disease Does pregnancy change the disease course? A study in a European cohort of patients with Lose fat safely while pregnant bowel disease. Bailit J. Hyperemesis gravidarium: epidemiologic findings from a large cohort.
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