Diagnosis and treatment of functional constipation in pregnant women

Н. А. Чухарева, Е. А. Ушкалова, V.S. Kartseva
In: Voprosy ginekologii, akušerstva i perinatologii · 2016 · vol. 15(1) , pp. 65–70 · doi:10.20953/1726-1678-2016-1-65-70 · W2315319353
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A survey of 1066 physicians revealed that while lactulose is the preferred treatment for functional constipation in pregnancy, combining it with simethicone helps manage the associated flatulence side effects.

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This paper reviews the diagnostic criteria for functional constipation in pregnant women based on Rome III guidelines and provides management recommendations. It analyzes survey data from 1066 physicians, revealing that while lactulose is the preferred treatment for most doctors, it frequently causes flatulence. Consequently, the authors suggest that combining lactulose with simethicone may be a more adequate therapeutic approach to mitigate these side effects. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Gynecology, Obstetrics and Perinatology - Gynecology, Obstetrics and Perinatology - 2016 volume 15 issue 1 Diagnosis and treatment of functional constipation in pregnant women Authors / Institutions N.A.Chukhareva / E.A.Ushkalova / Varvara S. Kartseva / The article discusses criteria of diagnosing functional constipation (Rome III) and offers recommendations on management of constipation during pregnancy. The results of a survey among 1066 medical doctors obtained in a pharmacoepidemiological study «Epidemiology of using medications in pregnant women», have shown that 75% of physicians in their practice give preference to lactulose medications, but almost half faces flatulence in administering pharmacotherapy, in this connection the use of lactulose in combination with simethicone seems adequate. Key words: pregnancy, Dinolak, constipation, lactulose, simethicone. Publisher's imprint: N.A.Chukhareva, E.A.Ushkalova, V.S.Kartseva. Diagnosis and treatment of functional constipation in pregnant women. Gynecology, Obstetrics and Perinatology. 2016;15(1):65-70. Received: 10.10.2015 DOI: 10.20953/1726-1678-2016-1-65-70

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