Managing pregnancy with long-term parenteral nutrition: A case report and review of the literature

Document Type

Article

Publication Date

5-1-2025

Publication Title

JPEN. Journal of parenteral and enteral nutrition

Abstract

Parenteral nutrition (PN) is essential for patients with chronic intestinal failure but poses significant challenges during pregnancy because of increased nutrition needs and associated risks such as central line-associated bloodstream infections. We report a case of a 29-year-old primigravid woman with Crohn's disease who required chronic PN. Despite these complexities, her pregnancy was managed successfully with tailored PN adjustments. She developed intrahepatic cholestasis of pregnancy at 38 weeks and delivered a healthy, full-term newborn. Meticulous planning and individualized nutrition management are crucial in navigating the complexities of PN during pregnancy, demonstrating the potential for successful outcomes with strategic and personalized interventions.

Medical Subject Headings

Humans; Female; Pregnancy; Adult; Parenteral Nutrition; Pregnancy Complications; Infant, Newborn; Crohn Disease; Cholestasis, Intrahepatic; Pregnancy Outcome; Intestinal Failure

PubMed ID

40170624

ePublication

ePub ahead of print

Volume

49

Issue

4

First Page

528

Last Page

533

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