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SCOTTSDALE, ARIZ. -- Gastroesophageal reflux disease may be significantly underreported and undertreated in pregnant women, according to a poster presented at the annual meeting of the Central Association of Obstetricians and Gynecologists.
Dr. Houmam Al-Hakeem and his coinvestigators at Southern Illinois University in Springfield diagnosed the condition in 72 of 111 pregnant women screened with the Gastrointestinal Symptom Rating Scale Questionnaire, a measure validated in published studies.
The poster reported that a 2-week trial of conservative management, described as "the first line of treatment in pregnant women," failed to improve the cumulative scores of the women who had symptoms of gastroesophageal reflux disease (GERD).
GERD "is very common in pregnancy but at the same time it is very overlooked," Dr. Al-Hakeem said in an interview. Indeed, heartburn is so common, the researchers posited, that many patients and physicians think it is normal in pregnancy.
Conservative management, as prescribed in the study, consists of lifestyle changes such as not lying down after meals, not eating certain foods, raising the head of a person's bed, and taking antacids. Physicians know this does not work, and prescribe medication as a first-line treatment in GERD ...
Source: HighBeam Research, GERD during pregnancy is common--and often overlooked.(Obstetrics)