Interventions for treating constipation in pregnancy

Rungsiprakarn, Phassawan; Laopaiboon, Malinee; Sangkomkamhang, Ussanee S; Lumbiganon, Pisake; Pratt, Jeremy J

doi:10.1002/14651858.cd011448

Cited by 9 publications

(13 citation statements)

References 34 publications

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“…Table (6) demonstrates the number and percentage distribution of the studied sample according to their self-care practices in relation to management of frequency of micturition. About (60%) of primigravida did suffer from frequency of micturition compared to (76.7%) among multigavida.…”

Section: Resultsmentioning

confidence: 99%

“…Generally, nonpharmacological interventions (increase roughage in diet, drink at least six to eight glasses of water per day, maintain regular schedule for bowel movements, use relaxation techniques such as deep breathing, and moderate exercises) are recommended initially, followed by pharmacological interventions if the non-pharmacological interventions fail or are insufficient. Pharmacological interventions include medications from a wide range of drug classes including lubricants, bulk-forming agents, osmotic laxatives, stimulant laxatives, stool softeners, and enemas and suppositories [6].…”

mentioning

confidence: 99%

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Comparative Study between Primigravida and Multigravida Regarding Women's Self-Care Practices for Management of Selected Minor Discomforts

Ayoub¹,

Awed²

2018

Madridge J Case Rep Stud

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Self-care means a person's ability to undertake self-care requisites or needs for preserving health and well-being. During pregnancy, the rapidly rising hormones change the maternal body and may cause some symptoms in the mother called as minor disorders. Aim of this study was to compare between primigravida and multigravida regarding women's self-care practices for management of selected minor discomfort. Research Design for this study was correlational descriptive. Setting of this study was conducted in the keebly MCH at Menofya governorate in Egypt. Subjects and methods: convenient sample was used to collect data in a period of six months, two days / week (Monday and Wednesday) and started from March 2016, until August 2016, and the total number was 300 pregnant women for three trimesters (90 primigravida and 210 multigravida), two tools for data collection was structured first; interviewing questionnaire sheet, and second; minor discomforts assessment sheet. Results of the study revealed that (33.3%) of the primigavida had moderate education compared to (21.4%) among multigravida. Less than half of the primigravida (42.9%) attempts to manage nausea and vomiting by avoid food smelling compared to (26.3%) among multigravida. Additionally, more than half of both groups (55.3%primi, 54.1% multi) avoid fried, spicy, and fatty food as a one method to manage their heartburn. Relatively two thirds (65.5%) of the primigravida avoid standing for long time for managing back pain compared to (46.1 %) among multigravida. Conclusion:There was no significant difference between primigravida and multigravida women's self-care practices for management of (constipation, heartburn, backache, and leucorrhea). Recommendations: Establishing educational program for all pregnant women's about minor discomforts & its correct self-care practices intended for increasing their knowledge.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Comparative Study between Primigravida and Multigravida Regarding Women's Self-Care Practices for Management of Selected Minor Discomforts

Ayoub¹,

Awed²

2018

Madridge J Case Rep Stud

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“…5,11 The question is the presence of a wide range of perianal symptoms and the different treatment modalities due to the severity of the symptoms, from simple topical treatments to surgical interventions together with different drugs. 10,[12][13][14] Another problem is the lack of prospective randomized epidemiological studies in this field.…”

Section: Discussionmentioning

confidence: 99%

“…2 Unfortunately, there is not enough data to adequately evaluate the effectiveness and safety of pharmacological and non-pharmacological treatment modalities for constipation in pregnancy. 6 However, some risk factors such as older age, high body mass index, and sedentary occupation have been described. 7 This pilot study aimed to explore the direct effect of gestation-related hormonal, metabolic, and mechanical changes on the development of hemorrhoids and identify the "risk-factor-free" incidence of external hemorrhoids in pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Hemorrhoids and related complications in primigravid pregnancy

Beksaç

Aydın

Üzelpasaci

et al. 2018

Journal of Coloproctology

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Purpose To identify the effect of pregnancy on the development of external hemorrhoids and constipation. Subjects and methods This pilot study involved 61 primigravid women without a history of perianal diseases. Each patient was examined and filled a questionnaire between the 11th and 14th gestational week prior to prenatal screening tests. Patients were re-examined and questioned in relation to perianal symptoms and hemorrhoidal changes again in the 24th and 37th gestational weeks. Results A total of 5, 8, and 11 women had symptomatic external hemorrhoids with or without perianal complications in the 11–14th, 24th, and 37th gestational weeks, respectively. Meanwhile, 27, 25, and 29 women complained about constipation in the 11–14th, 24th, and 37th gestational weeks, respectively. Only 4 (6.6%) patients experienced painful hemorrhoids. The overall morbidity rate was 18% (11 cases). We found a statistically significant relationship between external hemorrhoids/perianal complications and gestation-induced constipation through logistic regression analysis ( p < 0.001). Conclusion Various risk factors and biological explanations exist for the high frequency of hemorrhoids during pregnancy. Because participants were primigravid women without a history of perianal complaints, findings suggest a direct effect of pregnancy itself on the development of external hemorrhoids/perianal symptoms.

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“…Haemorrhoid management in pregnancy is typically non‐operative, with a focus on avoiding constipation through dietary fibre supplementation, stool softeners, adequate fluid intake, and correct toileting position to minimise straining 2,35 . Further symptomatic relief may be obtained using warm sitz baths and topical anaesthetic agents commonly used in non‐pregnant patients; however, specific data regarding safety and efficacy in pregnancy are not available 2 .…”

Section: Management Of Common and Serious Causesmentioning

confidence: 99%

Evaluation and management of rectal bleeding in pregnancy

Prentice

Al‐Ani

Cherry

et al. 2021

Medical Journal of Australia

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Summary Rectal bleeding occurs in about 40% of pregnant women, and is predominantly attributed to benign perianal pathology (haemorrhoids or anal fissures). More sinister causes of rectal bleeding may be heralded by key red flag clinical and biochemical features. These features should be evaluated in all women with rectal bleeding. Imaging investigations or flexible sigmoidoscopy may be warranted. The latter can be performed safely by experienced operators in pregnant women. Women with evidence of haemodynamic compromise, elevated inflammatory markers, significant anaemia, signs of intestinal obstruction or compromise to the fetus should be evaluated urgently. Providers must be mindful of the changes in normal ranges for common haematological and biochemical parameters in pregnancy compared with the non‐pregnant state. Faecal calprotectin is an established tool for identification of intestinal inflammation and is valid in pregnancy. An elevated faecal calprotectin level (≥ 50 µg/g) signifies a need for further diagnostic evaluation. Inflammatory bowel disease may present initially, or with worsening disease activity, in pregnancy. Expedient diagnosis with the use of faecal calprotectin, sigmoidoscopy with or without intestinal ultrasound, exclusion of alternative or compounding infective aetiologies, and institution of appropriate therapy are critical. Medical therapies for management of inflammatory bowel disease can be safely instituted in pregnancy. Colorectal cancer incidence is increasing in younger age groups, but fortunately remains rare. When diagnosed in pregnancy, colorectal cancer can be successfully and safely managed with a collaborative multidisciplinary team approach. Early diagnosis is key to optimising outcomes.

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Interventions for treating constipation in pregnancy

Cited by 9 publications

References 34 publications

Comparative Study between Primigravida and Multigravida Regarding Women's Self-Care Practices for Management of Selected Minor Discomforts

Comparative Study between Primigravida and Multigravida Regarding Women's Self-Care Practices for Management of Selected Minor Discomforts

Hemorrhoids and related complications in primigravid pregnancy

Evaluation and management of rectal bleeding in pregnancy

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