RT Book, Section A1 Cunningham, F. Gary A1 Leveno, Kenneth J. A1 Dashe, Jodi S. A1 Hoffman, Barbara L. A1 Spong, Catherine Y. A1 Casey, Brian M. SR Print(0) ID 1190768739 T1 Gastrointestinal Disorders T2 Williams Obstetrics, 26e YR 2022 FD 2022 PB McGraw Hill PP New York, NY SN 9781260462739 LK accessmedicine.mhmedical.com/content.aspx?aid=1190768739 RD 2024/04/20 AB During normal pregnancy, the gastrointestinal (GI) tract and its appendages undergo remarkable anatomical, physiological, and functional alterations. These changes, which are discussed in detail in Chapter 4 (p. 70), can appreciably alter clinical findings normally relied on for diagnosis and treatment. Moreover, as pregnancy progresses, GI findings become more difficult to assess. The clinical examination is often obscured by a large uterus that displaces abdominal organs and can alter the location and intensity of pain and tenderness.