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Pregnancy and IBD: A practical guide for physicians.
Natália Sousa Freitas Queiroz1, Federica Furfaro2
1Solare Educa Hub, São Paulo, Brazil.
Best Practice & Research. Clinical Gastroenterology
|August 6, 2025
Summary
Managing inflammatory bowel disease (IBD) during pregnancy involves careful preconception counseling, safe therapies, and monitoring. This ensures maternal and fetal health by balancing disease control with minimal risks.
Area of Science:
- Reproductive medicine
- Gastroenterology
- Perinatology
Background:
- Inflammatory bowel disease (IBD) presents unique challenges during pregnancy.
- Optimal management requires balancing disease activity with fetal safety.
Purpose of the Study:
- To provide evidence-based guidance for managing IBD in pregnant patients.
- To outline strategies for preconception, pregnancy, and postpartum care.
Main Methods:
- Review of current literature and expert consensus on IBD management during pregnancy.
- Discussion of therapeutic options, monitoring protocols, and exacerbation management.
Main Results:
- Preconception counseling is crucial for optimizing disease control before conception.
- Many IBD medications are considered safe during pregnancy with appropriate monitoring.
- Close collaboration between gastroenterologists and obstetricians is essential.
Conclusions:
- Effective IBD management during pregnancy is achievable with informed clinical decision-making.
- Prioritizing maternal and fetal well-being necessitates a multidisciplinary approach.
- Adherence to evidence-based guidelines minimizes risks and improves outcomes.
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