Euro Gastroenterology 2018

Gastrointestinal Diseases during Pregnancy and Lactation

Febrile illness along with acute intestinal infections may in some cases cause miscarriage or premature labour. Certain infections have been reported to have caused miscarriage; however, there is no concrete evidence of common gastrointestinal disorders to cause miscarriage or premature labour. If the infection progresses to a critical stage, the foetus is at high risk from both the infection and also the subsequent treatment and antibiotics. Listeriosis  is one such infection that can directly harm the foetus, as the organism can directly cross the placenta due to its intracellular lifecycle and is fatal to the neonate. Although salmonella spp. can cause neonatal infection in the new-borns, it is not fatal.  There are such infections that can cause severe illness to the mothers, viz., E.coli, Shigellosis, Clostridiumdifficile, Cholera, Cryptosporidiumspp. Giardia amblia, and Entamoeba spp. In general, pregnant women are susceptible to constipation, diarrhoea, faecal incontinence, and haemorrhoids due to various structural, hormonal and lifestyle changes during pregnancy. Hyperemesis Gravid arum or morning sickness affects about 90% of all pregnant women and can be controlled through proper hydration and nutrition. However, if the condition is severe, hospitalization may be required as women are at risk of getting dehydrated and malnourished.