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Bleeding Esophageal Varices in Pregnancy

Hemorrhage from esophageal varices during pregnancy is a very uncommon problem. Certain physiologic changes during pregnancy, such as an increased blood volume and altered venous return to the heart, might predispose to hemorrhage from established varices. Management of massive variceal bleeding in pregnancy is difficult and both bleeding and treatment may place the fetus at risk. If bleeding can be controlled and pregnancy maintained, it is possible to obtain a viable infant.