Large bowel obstruction during pregnancy: the efficacy of dietary fibers
<p> <b>Yu.E. Dobrokhotova, E.I. Borovkova, T.D. Simonyan, D.S. Selimshaeva</b> </p> <p> <b>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b> </p> <p> <i><b>Aim</b>...
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| Format: | Article |
| Language: | Russian |
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LCC «Medicine-Inform»
2021-02-01
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| Series: | РМЖ. Мать и дитя |
| Online Access: | http://wchjournal.com/upload/iblock/26d/26d9fb4af0cafbc0c20e7dc22b89cdd6.pdf |
| Summary: | <p>
<b>Yu.E. Dobrokhotova, E.I. Borovkova, T.D. Simonyan, D.S. Selimshaeva</b>
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<b>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b>
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<i><b>Aim</b>: to evaluate the clinical efficacy of dietary fibers and lactulose in pregnant women with large bowel obstruction.</i>
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<i><b>Patients and Methods:</b> this prospective study included 60 pregnant women (20–24 weeks of pregnancy) with large bowel obstruction occurred during pregnancy and persisted for at least 3 months. All women were randomized and divided into two groups. Group 1 received soluble fibers and group 2 received group 2 received lactulose. Clinical efficacy of treatment was evaluated using a specialized questionnaire filled at baseline, 48 h, 4 days, and 14 days after starting treatment.</i>
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<i><b>Results</b>: mean age was 27.1±4.0 years in group 1 and 28.3±5.0 years in group 2. Bowel evacuation less than 3 times a week occurred in 87% and 77%, respectively, the duration of pushing occupied more than 25% of defecation in 70% and 60%, respectively, hard stool occurred in 100%, anal fissures and a feeling of incomplete evacuation were reported in 47% and 57%, respectively. Comfort bowel evacuation 48 h after starting treatment was reported in 63% of women who received dietary fibers and 47% of patients who received lactulose. Normal defecation by day 4 was observed in 80% of women in group 1 and 53% in group 2. Treatment effect was achieved by day 14 in 87% in group 1 and 70% in group 2. The most common complaint was abdominal distension that occurred 3.5 times more common after treatment with lactulose (р<0.05).</i>
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<i><b>Conclusions</b>: dietary fibers were more effective in terms of achieving the desired outcome and patient satisfaction.</i>
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<i><b>Keywords</b>: large bowel obstruction, defecation, pregnancy, dietary fibers, OptiFibere, lactulose.</i>
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<i><b>For citation:</b> Dobrokhotova Yu.E., Borovkova E.I., Simonyan T.D., Selimshaeva D.S. Large bowel obstruction during pregnancy: the efficacy of dietary fibers. Russian Journal of Woman and Child Health. 2021;4(1):36–41. DOI: 10.32364/2618-8430-2021-4-1-36-41.</i>
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| ISSN: | 2618-8430 2686-7184 |