GIT Disorders in Pregnancy

Question 1

list the functions of the GIT

Answer 1

ingestion, propulsion, digestion, absorption, elimination

Question 2

what effect does preg have on propulsion, digestion and elimination and why?

Answer 2

they are slowed due to progesterone’s effect on smooth muscle

Question 3

define hyperemesis gravidarum

Answer 3

extreme N&V, retching, beginning in first trimester

Question 4

what are concerns related to HG?

Answer 4

maternal malnutrition affecting fetal growth, dehydration leading to renal impairment/injury, electrolyte imbalances and ketonuria

Question 5

what are severe complications of HG

Answer 5

Wernicke’s encephalopathy (vitamin B defic), myelinolysis, acute tubular necrosis of kidney, tearing of oesophagus

Question 6

what hormones increase in HG and what hormones decrease?

Answer 6

increase in free T4 and hCG, prog and est, decreased TSH

Question 7

what does IBS increase risk of

Answer 7

GHTN, PET, DVT, GDM

Question 8

what are the most common types of IBD and what pregnancy complications are assoc if these are active?

Answer 8

ulcerative colitis and Crohn’s, miscarriage, prem and LBW assoc

Question 9

what score indicates severe HG on PUQE?

Answer 9

> 13

Question 10

when can antiemetics be given to woman with HG and why?

Answer 10

after T1 as use in early preg assoc with fetal heart defects, IUGR, Cleft palate

Question 11

when should CS be recommended for women with IBD

Answer 11

if disease is active or prev colon surgery