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Continuing Medical Education Questions: January 2026.

Daphne Moutsoglou1

  • 1Minneapolis VA Medical Center, Minneapolis, Minnesota, USA.

The American Journal of Gastroenterology
|February 4, 2026
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Summary

This global consensus statement provides evidence-based guidance for managing inflammatory bowel disease (IBD) during pregnancy. It aims to optimize maternal and fetal outcomes for women with IBD. Keywords: inflammatory bowel disease, IBD, pregnancy management, global consensus.

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Area of Science:

  • Gastroenterology and Hepatology
  • Obstetrics and Gynecology
  • Reproductive Medicine

Background:

  • Inflammatory bowel disease (IBD) affects women of reproductive age.
  • Management during pregnancy requires careful consideration of disease activity and treatment safety.
  • Lack of standardized guidelines poses challenges for clinicians.

Purpose of the Study:

  • To establish a global consensus on the optimal management of IBD in pregnant patients.
  • To provide evidence-based recommendations for preconception counseling, treatment, and postpartum care.
  • To improve outcomes for mothers and infants affected by IBD.

Main Methods:

  • Systematic literature review and meta-analysis of existing studies.
  • Delphi methodology involving international experts in IBD and maternal-fetal medicine.
  • Development of consensus-based recommendations and clinical guidelines.

Main Results:

  • Recommendations cover preconception counseling, medication safety (biologics, conventional therapies), and management of active disease.
  • Emphasis on shared decision-making between patients and healthcare providers.
  • Guidance on monitoring disease activity and fetal well-being throughout pregnancy.

Conclusions:

  • A unified approach to managing IBD in pregnancy is crucial for optimizing patient care.
  • These guidelines offer a framework for evidence-based decision-making.
  • Continued research is needed to further refine management strategies.