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CC BY 4.0 · Rev Bras Ginecol Obstet 2022; 44(06): 609-613
DOI: 10.1055/s-0042-1748973
Review Article

Pregnancy in Patients with Non-cirrhotic Portal Hypertension: A Literature Review

Gravidez em pacientes com hipertensão portal não cirrótica: Uma revisão da literatura
Suprabhat Giri 
1   Department of Gastroenterology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
,
Shradhanjali Sahoo 
2   Department of Maternal and Fetal Medicine, Fernandez Hospital, Hyderabad, Telangana, India
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Abstract

Pregnancy in non-cirrhotic portal hypertension (NCPH) is an uncommon condition. Its management is challenging both to the obstetricians as well as to the gastroenterologists due to the lack of more extensive studies and standard clinical practice guidelines. These patients are at increased risk of portal hypertension (PTH) complications, especially variceal bleeding, and with an increased incidence of adverse maternal and fetal outcomes. Hence, a multidisciplinary approach is required for management of pregnancy in NCPH. This short review describes the different aspects of pregnancy with NCPH, emphasizing specific strategies for preventing and managing PTH from the preconceptional period to postpartum.

Resumo

A gravidez na hipertensão portal não cirrótica (HPNC) é uma condição incomum. Seu manejo é desafiador tanto para os obstetras quanto para os gastroenterologistas devido à falta de estudos mais extensos e diretrizes de prática clínica padrão. Esses pacientes apresentam risco aumentado de complicações da hipertensão portal (PTH) especialmente sangramento por varizes e têm maior incidência de desfechos maternos e fetais adversos. Portanto uma abordagem multidisciplinar é necessária para o manejo da gravidez na NCPH. Esta breve revisão descreve os diferentes aspectos da gravidez com HPNC enfatizando estratégias específicas para prevenção e manejo do PTH desde o período pré-concepcional até o pós-parto.

Keywords

portal hypertension - esophageal and gastric varices - pregnancy outcomes - EHPVO - NCPF

Palavras-chave

hipertensão portal - varizes esofágicas e gástricas - resultados da gravidez - EHPVO - NCPF


Publication History

Received: 05 October 2021

Accepted: 03 March 2022

Article published online:
27 June 2022

© 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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