炎症性腸疾患における妊娠管理に関するグローバルコンセンサス声明
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
まとめ
炎症性腸疾患 (IBD) の妊娠は慎重に管理する必要があります. このグローバルなコンセンサスは,IBD患者の母親と乳児の健康状態を改善するためのデータに基づいたガイドラインを提供します.
科学分野:
- 胃腸内科
- 産婦人科
- 公衆衛生
背景:
- 炎症性腸疾患 (IBD) の女性における妊娠は,重大なリスクをもたらす.
- 妊娠中のIBD薬に関する高品質の研究とデータは限られている.
- 医療従事者の知識とガイドラインの多様性は 患者と医師に混乱をもたらします
研究 の 目的:
- 妊娠中のIBDの管理のためのベストプラクティスを確立する.
- 医療従事者や患者さんに対して データに基づいたガイドラインを提供すること
- IBDの妊婦の妊娠率,服薬の順守,治療結果を改善する.
主な方法:
- 豊富なデータ領域のGRADEプロセスと専門家の意見のRANDプロセスを利用しました.
- 乳児の健康を支えるために 母の健康を優先した勧告です
- IBDの専門家39名と患者提唱者7名のグローバルコンソーシアムを招集した.
主要な成果:
- 34のGRADE勧告と35のコンセンサス声明を策定した.
- 10つのカテゴリーに分けました
- 妊娠中のIBD管理の重要な側面を扱った.
結論:
- このコンソーシアムは,世界中のIBDの妊婦のケアに関する実用的な,証拠に基づいたガイドラインを提供することを目的とした.
- 妊婦のIBD患者の治療の質を標準化して向上させることが目的でした.
- 合意声明は,改善された臨床意思決定のための枠組みを提供します.
キーワード:
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