Fecal Incontinence and Diarrhea During Pregnancy

Menees, Stacy B.; Lembo, Anthony; Charabaty, Aline

doi:10.14309/ajg.0000000000001964

Cited by 4 publications

(2 citation statements)

References 60 publications

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“…Earlier work suggested that there is no convincing evidence that the pathogenesis of diarrhea in pregnant women differs from that of the non-pregnant population and that pregnancy promotes constipation rather than diarrhea 54 . More recent work suggests pregnancy-related factors, such as hormonal changes, dietary changes, or preexisting conditions 55 . Our work supports the latter.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and course of pregnancy symptoms using self-reported pregnancy app symptom tracker data

Nissen,

Barrios Campo,

Flaucher

et al. 2023

npj Digit. Med.

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During pregnancy, almost all women experience pregnancy-related symptoms. The relationship between symptoms and their association with pregnancy outcomes is not well understood. Many pregnancy apps allow pregnant women to track their symptoms. To date, the resulting data are primarily used from a commercial rather than a scientific perspective. In this work, we aim to examine symptom occurrence, course, and their correlation throughout pregnancy. Self-reported app data of a pregnancy symptom tracker is used. In this context, we present methods to handle noisy real-world app data from commercial applications to understand the trajectory of user and patient-reported data. We report real-world evidence from patient-reported outcomes that exceeds previous works: 1,549,186 tracked symptoms from 183,732 users of a smartphone pregnancy app symptom tracker are analyzed. The majority of users track symptoms on a single day. These data are generalizable to those users who use the tracker for at least 5 months. Week-by-week symptom report data are presented for each symptom. There are few or conflicting reports in the literature on the course of diarrhea, fatigue, headache, heartburn, and sleep problems. A peak in fatigue in the first trimester, a peak in headache reports around gestation week 15, and a steady increase in the reports of sleeping difficulty throughout pregnancy are found. Our work highlights the potential of secondary use of industry data. It reveals and clarifies several previously unknown or disputed symptom trajectories and relationships. Collaboration between academia and industry can help generate new scientific knowledge.

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