Gastroparesis in pregnancy

Moosavi, Sarvee; Won, Min Yang; Wong, Melissa H.; Rezaie, Ali

doi:10.1016/j.ajog.2022.09.002

Cited by 2 publications

(1 citation statement)

References 123 publications

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“…Decreased gastrointestinal mobility, varying up to gastroparesis, is prevalent during pregnancy, yet the literature on this topic is scarce [ 50 ]. Research on the effects of exercises on gastrointestinal transit [ 51 ] suggests that moderate physical activity, such as walking, during early labor may enhance gastric emptying.…”

Section: Research Gaps Addressable With Inertial Sensorsmentioning

confidence: 99%

The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia

Dziadzko,

Péneaud,

Bouvet

et al. 2024

Sensors

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There is a growing interest in wearable inertial sensors to monitor and analyze the movements of pregnant women. The noninvasive and discrete nature of these sensors, integrated into devices accumulating large datasets, offers a unique opportunity to study the dynamic changes in movement patterns during the rapid physical transformations induced by pregnancy. However, the final cut of the third trimester of pregnancy, particularly the first stage of labor up to delivery, remains underexplored. The growing popularity of “walking epidural”, a neuraxial analgesia method allowing motor function preservation, ambulation, and free movement throughout labor and during delivery, opens new opportunities to study the biomechanics of labor using inertial sensors. Critical research gaps exist in parturient fall prediction and detection during walking epidural and understanding pain dynamics during labor, particularly in the presence of pelvic girdle pain. The analysis of fetal descent, upright positions, and their relationship with dynamic pelvic movements facilitated by walking during labor is another area where inertial sensors can play an interesting role. Moreover, as contemporary obstetrics advocate for less restricted or non-restricted movements during labor, the role of inertial sensors in objectively measuring the quantity and quality of women’s movements becomes increasingly important. This includes studying the impact of epidural analgesia on maternal mobility, walking patterns, and associated obstetrical outcomes. In this paper, the potential use of wearable inertial sensors for gait analysis in the first stage of labor is discussed.

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Section: Research Gaps Addressable With Inertial Sensorsmentioning

confidence: 99%

The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia

Dziadzko,

Péneaud,

Bouvet

et al. 2024

Sensors

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Abdominal Pain and Chronic Opiate Use in Patients with Gastroparesis

Ifrah,

Ebeid,

Parkman

2024

Gastrointestinal Disorders

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Introduction: Although opiate narcotics may worsen gastroparesis, patients can take these for abdominal pain (AP) or other chronic pain syndromes. This study aims to evaluate medications patients with gastroparesis use for AP and compare patients who use opiate analgesics for AP to those using opiate analgesics for non-abdominal pain. Methods: Patients at a tertiary academic center gastroenterology clinic completed the PAGI-SYM and QOL SF-8 surveys between 10/2021 and 03/2023. Patients recorded gastroparesis treatments, pain treatments and indication, and any hospitalizations/ED visits within 3 months of a clinic visit. Results: A total of 53 patients were enrolled: 72% reported having AP. Patients were using the following medications for AP: 25% heating pad, ice or hot showers, 20.8% acetaminophen, 14.6% hyoscyamine, 13% opiate use, 13% marijuana use, 10.4% dicyclomine, 8.3% NSAIDs, 4% benzodiazepine, and 2.1% gabapentin. The reported reasons for using opiates were 58% AP, 16.6% chronic back pain, 16.6% RSD and fibromyalgia, and 8.3% osteoarthritis. All opiate users reported daily scheduled use. AP severity scores (4.1 vs. 2.8; p = 0.041), morphine equivalent usage (77 ± 44 vs. 32 ± 28; p = 0.037), and the number of ER visits (1.0 vs. 0 over 3 months) were higher in patients using opiates for AP than those using opiates for non-abdominal pain. Conclusions: In this series, 72% of patients with gastroparesis had abdominal pain, and 13% of patients were taking opiates. Patients who used opiate analgesics for abdominal pain had a higher average abdominal pain severity score and used a higher amount of opiate analgesia than patients using opiates for musculoskeletal pain. Abdominal pain in patients with gastroparesis can be harder to control with opiate analgesia compared to non-abdominal pain, supporting the concept of avoiding chronic opiate usage for abdominal pain in gastroparesis.

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Gastroparesis in pregnancy

Cited by 2 publications

References 123 publications

The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia

The Potential Role of Wearable Inertial Sensors in Laboring Women with Walking Epidural Analgesia

Abdominal Pain and Chronic Opiate Use in Patients with Gastroparesis

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