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Whole bowel irrigation during pregnancy.

K J Van Ameyde¹, M Tenenbein

¹Department of Internal Medicine, University of Manitoba, Winnipeg, Canada.

American Journal of Obstetrics and Gynecology

|March 1, 1989

Summary

Whole bowel irrigation effectively treated iron overdose in a pregnant patient during the third trimester. This procedure, typically for colonoscopy prep, proved safe and uncomplicated in this case.

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Area of Science:

Gastroenterology
Toxicology
Obstetrics

Background:

Whole bowel irrigation (WBI) is a standard procedure for colonoscopic preparation.
WBI is also used to eliminate ingested poisons after acute overdose.
The safety and efficacy of WBI during pregnancy are not well-documented.

Observation:

A pregnant patient in her third trimester presented with a significant iron overdose.
The clinical team decided to administer whole bowel irrigation to manage the overdose.
The procedure was performed without any adverse events or complications.

Findings:

Whole bowel irrigation can be safely employed in the third trimester of pregnancy for managing acute overdose.
The treatment resulted in successful clearance of the ingested iron.
No maternal or fetal complications were observed during or after the procedure.

Implications:

This case suggests that whole bowel irrigation is a viable and safe treatment option for acute overdose in late pregnancy.
It expands the known applications of WBI to include obstetric toxicology.
Further research may be warranted to establish definitive guidelines for WBI use in pregnant patients.

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