关于在怀孕期间使用喘生物药物的国际共识
Jennifer Naftel1, David J Jackson2, Matthew Coleman3
1National Institute for Health Research Southampton Biomedical Research Centre and Department of Respiratory Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
喘生物药可以在受孕和怀孕期间使用,专家一致认为支持在母乳养期间启动和继续使用. 国际数据注册对未来关于孕妇严重喘管理指南至关重要.
科学领域:
- 肺病学和免疫学 肺病学和免疫学
- 生殖医学 生殖医学
背景情况:
- 失控的喘可能会导致不良周围产生的结果.
- 喘生物改善严重喘管理,但由于试验排除,缺乏怀孕安全数据.
- 在怀孕期间使用喘生物药物的证据有限.
研究的目的:
- 建立专家的共识,在怀孕,怀孕和母乳养期间使用喘生物药物.
- 为管理孕妇严重喘的临床医生提供指导.
主要方法:
- 一个国际修改的Delphi研究,涉及来自32个国家的141名小组成员.
- 两轮在线调查评估了喘在怀孕期间生物使用的关键领域.
- 在围产期护理中建立关于喘生物药物的安全性和有效性的共识.
主要成果:
- 专家小组成员达成共识,认为在怀孕期间和整个怀孕期间可以使用喘生物药物.
- 共识支持在怀孕期间根据非怀孕标准开始使用生物药物,并在母乳养期间继续/开始使用.
- 在临床实践中强调风险益处讨论和共享决策.
结论:
- 喘生物药物被认为是怀孕和母乳养期间治疗严重喘的可行选择.
- 通过国际注册表持续收集数据对于完善临床指南至关重要.
- 专家的共识支持在孕妇和哺乳期患者中使用喘生物药物.
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