Difference between pregnancy-related events in coeliac versus non-coeliac populations
- In a cohort study the proportion of births by caesarean section was almost 30% higher for women with coeliac disease than for the women in the comparison group. The study also showed miscarriages were slightly more common in women with coeliac disease (RR 1.31) and pregnancy experiences such as preeclampsia, postpartum haemorrhage, and still births to be similar between the two groups.
- Also none of the women with coeliac disease had babies with neural tube defects, despite the concerns about folate deficiency in coeliac disease.
- These results indicate that the risks of adverse pregnancy-related outcomes for women with coeliac disease are not as high as previously reported.
Dietary implications in pregnancy for coeliacs
- There are no specific guidelines for pregnant women with coeliac disease. Standard nutritional advice during pregnancy is appropriate for women with coeliac disease and general guidelines are suitable, in particular advice to take folic acid supplements should be followed.
- It is important that people with coeliac disease are followed up regularly, particularly at times of stress, i.e. pregnancy. Patients may experience deterioration in their symptoms and require additional support at this time. Depending on individual assessment and diet, supplementation with calcium, iron, and vitamin B12 may be required.
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