Gastrointestinal Symptoms and Nutritional Profile During Pregnancy View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2015

AUTHORS

Carlo Selmi , Maria De Santis , Luigi Laghi , Elena Generali

ABSTRACT

Gastrointestinal symptoms are common complaints during pregnancy and are generally of mild intensity. Nausea and vomiting and related repulsion toward foods in the first trimester of pregnancy might represent also an intricate evolutionary protective mechanism, an adaptation to protect the embryo from phytotoxins and other environmental hazards. Indeed, 20–30 % of the adult population in the USA and Europe suffer from adverse reactions to food, and only in one out of ten cases these reactions are caused by IgE-mediated allergic mechanisms; all other forms are broadly considered food antigen hypersensitivity. The percentage of women who experience heartburn symptoms, at any time during pregnancy, range from 30 to 80 %, being highest in the third trimester. These symptoms should encourage changes as regards composition of meals (check for food hypersensitivity), time from meal to bedtime, moderate exercise after eating, supported by short therapies with alginate-based formulations. Constipation in pregnant women is the most underreported disturbance during the second and third trimester commonly interpreted as a simple progesterone-related symptom. Indeed, fiber intake is usually well below the standard recommendations in the daily health plate and thus is frequently forgotten by healthcare providers. The lack of prebiotics and hydrophilic fibers is frequently associated with subclinical inflammatory bowel disease thus translating a latent dysfunction into a clinical symptom. During pregnancy it may be difficult to assess if a specific symptom is an expression of a gastrointestinal disease or if it is caused by the pregnancy itself that simply adds on the preexisting subclinical gastrointestinal abnormalities. The aim of every healthcare provider is to identify gastrointestinal symptoms during pregnancy, refuse the idea that all of them are simple “normal” side effects of being pregnant, and, through them, identify prepregnancy subclinical conditions and to address the best treatment options, focusing particularly on nutritional mechanisms. More... »

PAGES

105-115

References to SciGraph publications

  • 1996-06. Safety of first trimester exposure to histamine H2 blockers in DIGESTIVE DISEASES AND SCIENCES
  • 2012-12. Is a multispecies probiotic mixture effective in constipation during pregnancy? 'A pilot study' in NUTRITION JOURNAL
  • 2008-08. The spectrum and treatment of gastrointestinal disorders during pregnancy in NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY
  • 2009-06. The Safety of Proton Pump Inhibitors (PPIs) in Pregnancy: A Meta-Analysis in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2014-04. Impact of overweight and obesity on obstetric outcomes in JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION
  • 2015-01. Impact of maternal under nutrition on obstetric outcomes in JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION
  • Book

    TITLE

    Metabolic Syndrome and Complications of Pregnancy

    ISBN

    978-3-319-16852-4
    978-3-319-16853-1

    Author Affiliations

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/978-3-319-16853-1_8

    DOI

    http://dx.doi.org/10.1007/978-3-319-16853-1_8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1014038762


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