怀孕,怀孕和炎症性肠病-当前的概念,为执业的临床医生
Eleanor Liu1, Kelly Chatten1, Jimmy K Limdi2
1Department of Gastroenterology, Northern Care Alliance NHS Trust, Manchester, UK.
概括
在怀孕期间管理炎症性肠病 (IBD) 需要多学科的方法. 在怀孕之前确保疾病缓解对于患有IBD的妇女的最佳孕产妇和胎儿结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 产科和妇科 产科和妇科
- 生殖健康 生殖健康
背景情况:
- 炎症性肠病 (IBD) 在女性生育年龄达到顶峰,这带来了独特的管理挑战.
- 患有IBD的女性怀孕需要一种以患者为中心的协作方法.
- 怀孕时的疾病活动显著影响怀孕的结果.
研究的目的:
- 审查当前关于怀孕期间管理IBD的证据.
- 强调怀孕前咨询和疾病缓解的重要性.
- 讨论在怀孕前期,怀孕期和产后期的管理考虑.
主要方法:
- 关于怀孕期间IBD的现有文献的叙述性综述.
- 分析IBD管理策略,药物安全性和输送方面的考虑.
- 包括怀孕前和产后护理建议.
主要成果:
- 大多数患有IBD的女性生育能力正常,但自愿无子是常见的.
- 怀孕期间活跃的IBD与流产和早产等不良结果有关.
- 许多IBD药物在怀孕和母乳养期间是安全的;维持缓解是关键.
结论:
- 怀孕前咨询和实现疾病缓解对于IBD妇女成功怀孕至关重要.
- 多学科的方法和共享决策对于在怀孕期间管理IBD至关重要.
- 大多数患有IBD的女性可以通过阴道分娩,在特定条件下考虑剖腹产.
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