TY - CHAP M1 - Book, Section TI - Gastrointestinal, Hepatic, & Biliary Disorders of Pregnancy A1 - Rogers, Vanessa L. A1 - Roberts, Scott W. A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. A2 - McQuaid, Kenneth R. PY - 2022 T2 - Current Medical Diagnosis & Treatment 2022 AB - Complications involving the gastrointestinal tract, liver, and gallbladder are common in pregnancy. Nausea and vomiting in the first trimester affect the majority of pregnant women to some degree (see Obstetric Complications of the First & Second Trimesters). Nausea and vomiting in the last half of pregnancy, however, are never normal; a thorough evaluation of such complaints is mandatory. Some of these conditions are incidental to pregnancy (eg, appendicitis), while others are related to the gravid state and tend to resolve with delivery (eg, acute fatty liver of pregnancy). Importantly, the myriad anatomic and physiologic changes associated with normal pregnancy must be considered when assessing for a disease state. Likewise, interpretation of laboratory studies must take into account the pregnancy-associated changes in hepatic protein production. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1184182333 ER -