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Declaración de consenso mundial sobre el manejo del embarazo en la enfermedad inflamatoria intestinal
Uma Mahadevan1, Cynthia H Seow2, Edward L Barnes3
1Gastroenterology, University of California, San Francisco, San Francisco, California, USA uma.mahadevan@ucsf.edu.
Gut
|August 28, 2025
Resumen
El embarazo con enfermedad inflamatoria intestinal (EII) requiere un manejo cuidadoso. Este consenso global proporciona una guía basada en datos para mejores resultados de salud materna e infantil en pacientes con EII.
Área de la Ciencia:
- Gastroenterología
- Obstetricia y parto
- Salud pública
Sus antecedentes:
- El embarazo en mujeres con enfermedad inflamatoria intestinal (EII) presenta riesgos significativos.
- Existen estudios y datos limitados de alta calidad sobre los medicamentos para EII durante el embarazo.
- La variedad de conocimientos y directrices de los proveedores crea confusión para los pacientes y los médicos.
Objetivo del estudio:
- Establecer las mejores prácticas para el tratamiento de la EII durante el embarazo.
- Proporcionar orientación basada en datos para los proveedores de atención médica y los pacientes en todo el mundo.
- Para mejorar las tasas de embarazo, la adherencia a la medicación y los resultados para las mujeres con EII.
Principales métodos:
- Utilizó el proceso GRADE para áreas ricas en datos y el proceso RAND para la opinión de expertos.
- Las recomendaciones priorizaron la salud materna para apoyar la salud infantil.
- Convocó a un consorcio global de 39 expertos en EII y 7 defensores de los pacientes.
Principales resultados:
- Desarrolló 34 recomendaciones GRADE y 35 declaraciones de consenso.
- Los hallazgos están organizados en diez categorías distintas.
- Se abordaron aspectos críticos del manejo de la EII en el embarazo.
Conclusiones:
- El consorcio tenía como objetivo proporcionar una guía práctica y basada en la evidencia para la atención de la gestación con EII en todo el mundo.
- El objetivo era estandarizar y mejorar la calidad de la atención para pacientes embarazadas con EII.
- Las declaraciones de consenso ofrecen un marco para mejorar la toma de decisiones clínicas.
Palabras clave:
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