Total Parenteral Nutrition in Obstetrics

Abstract

Total parenteral nutrition was provided to ten patients during pregnancy. No obstetrical or fetal complications attributable to the nutrition therapy occurred. All infants were at or above the tenth percentile in weight for gestational age. Total parenteral nutrition appears to be safe for the mother and fetus when given after the first trimester; the safety of total parenteral nutrition in the first trimester requires further study.

A Historical Perspective and Review of the Safety of Lipid Emulsion in Pregnancy

“…In 18 cases, parenteral nutrition was initiated and continued through delivery without interruption.1, 3, 14, 15, 17, 19-28 TPN was interrupted but was restarted and continued to delivery in an additional two cases. 18,26 This group (20 cases) received therapy for 7 to 260 days: 14 patients received the lipid system, 4 patients received the glucose system, and 2 patients used both the glucose and lipid systems. In the remaining three cases where lipids were used, the course and type of therapy was unspecified.…”