RT Book, Section
A1 Rogers, Vanessa L.
A1 Roberts, Scott W.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1184182333
T1 Gastrointestinal, Hepatic, & Biliary Disorders of Pregnancy
T2 Current Medical Diagnosis & Treatment 2022
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264269389
LK accessmedicine.mhmedical.com/content.aspx?aid=1184182333
RD 2024/04/25
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.