This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Mamel, J. J. Articles by barrett, J. M. Search for Related Content PubMed Articles by Mamel, J. J. Articles by barrett, J. M. Social Bookmarking                         What's this?

Total Parenteral Nutrition During Pregnancy in a Patient Requiring Long-Term Nutrition Support

Nutritional Support Services, H. Lee Moffitt Hospital, Division of Digestive Diseases and Nutrition, University of South Florida College of Medicine, Tampa, Florida

Margaret Kuznicki, RN

Nutritional Support Services, H. Lee Moffitt Hospital, Division of Digestive Diseases and Nutrition, University of South Florida College of Medicine, Tampa, Florida

Margaret Carter, RD

Nutritional Support Services, H. Lee Moffitt Hospital, Division of Digestive Diseases and Nutrition, University of South Florida College of Medicine, Tampa, Florida

Deborah Witt, MD

Nutritional Support Services, H. Lee Moffitt Hospital, Division of Digestive Diseases and Nutrition, University of South Florida College of Medicine, Tampa, Florida

Jeffery M. barrett, MD

Nutritional Support Services, H. Lee Moffitt Hospital, Division of Digestive Diseases and Nutrition, University of South Florida College of Medicine, Tampa, Florida

Background: Total parenteral nutrition (TPN) has been used successfully in preventing intrauterine growth retardation, premature labor, and perinatal morbidity and mortality associated with poor maternal nutrition. Parenteral nutrition support is provided in most instances for short intervals during pregnancy when oral intake is compromised, eg, hyperemesis gravidarum or during complications from comorbid conditions that develop or are exacerbated during pregnancy. Few reports describe continuous parenteral nutrition support from conception through labor and delivery. Objective: To support successfully a 19-year-old woman on long-term TPN since age 8 years because of short bowel syndrome complicated by chronic pancreatitis. Methods: Estimated energy requirements were based on indirect calorimetry and current recommendations for maternal weight gain for optimal fetal growth and development. A strategy was formulated to improve her low maternal weight during early pregnancy. Results: The fetus grew normally throughout pregnancy. There were no significant metabolic or obstetric complications as a result of the parenteral support. Conclusions: Patients on long-term TPN can conceive successfully and carry a pregnancy to term without any adverse outcome for the mother or the fetus. TPN feeding during pregnancy and recommendations for maternal weight gain are reviewed.

Nutrition in Clinical Practice, Vol. 13, No. 3, 123-128 (1998)
DOI: 10.1177/088453369801300303


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				American Society for Parenteral and Enteral Nutrit Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients JPEN J Parenter Enteral Nutr, January 1, 2002; 26(1_suppl): 1SA - 138SA. [PDF]