Constipation in pregnancy: is your advice on diet effective?

Prof Care Mother Child

Published: December 1996

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Background: Constipation is a common complication and an unpleasant experience during pregnancy. Due to hormonal factors, intestinal movements decrease during this time, causing the digestive system to malfunction. This study aims to explore the worldwide prevalence of constipation during pregnancy to prevent and minimize its complications.

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Treatment for women with postpartum iron deficiency anaemia.

Cochrane Database Syst Rev

December 2024

Cochrane Denmark and Centre for Evidence-Based Medicine Odense (CEBMO), University of Southern Denmark, Odense, Denmark.

Rationale: Postpartum iron deficiency anaemia is caused by antenatal iron deficiency or excessive blood loss at delivery and might affect up to 50% of labouring women in low- and middle-income countries. Effective and safe treatment during early motherhood is important for maternal well-being and newborn care. Treatment options include oral iron supplementation, intravenous iron, erythropoietin, and red blood cell transfusion.

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Preclinical data suggest that gestational exposure to selective serotonin reuptake inhibitors (SSRI) alter gut innervation, and delays colonic motility. In this study we investigated associations between gestational SSRI exposure and offspring disorders of gut-brain interaction (DGBI). Using population-based registries, we included all single-birth Danish children born 1997-2015 with follow-up until outcome occurrence, age 15 years, death, emigration, or December 2018.

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Article Synopsis
  • Urinary incontinence (UI) affects many women but often goes untreated due to lack of awareness and stigma, impacting their quality of life; early diagnosis and management are crucial.
  • A cross-sectional study in Bahrain included 875 women, finding a UI prevalence of 24.8%, with stress incontinence being the most common type; only 21.7% sought medical help.
  • Key risk factors for UI identified include being a widow, retired, having had multiple pregnancies, urogenital infections, past surgeries, and constipation, indicating a need for better screening and education in primary care settings.
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Cecal volvulus (CV) is a relatively rare disease; however, it often requires emergency surgery due to the low success rate of endoscopic treatment, in contrast to sigmoid volvulus. The mechanism of CV involves a mobile cecum at the base, triggered by factors such as constipation, high-fiber diets, laxative use, history of laparotomy or laparoscopic surgery, pregnancy, and prior colonoscopy, which twists the ileocecal region. Although CV is a benign disease, it can be fatal if treatment is delayed, so it is crucial to understand the pathophysiology and treatment.

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