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患有炎症性肠病的患者的怀孕:叙述性综述
Martin Hecker1, Anne Heihoff-Klose2, Matthias Mehdorn3
1Department of Medicine (Oncology, Gastroenterology, Hepatology, Pulmonology), University of Leipzig Medical Center, Leipzig, Germany.
Visceral medicine
|April 9, 2025
概括
炎症性肠病 (IBD) 患者可以安全地怀孕和分娩. 综合性预孕咨询对于在怀孕期间管理IBD至关重要,确保母亲和孩子的最佳结果.
科学领域:
- 胃肠病学 胃肠病学
- 产科 产科 产科 产科 产科
- 生殖健康 生殖健康
背景情况:
- 炎症性肠病 (IBD) 影响个人在他们的生殖年龄.
- 对IBD患者缺乏关于怀孕,怀孕和分娩的临床指导.
研究的目的:
- 总结当前关于管理计划怀孕,怀孕期间和分娩的患者的炎症性肠病 (IBD) 的知识.
- 突出IBD患者在整个生殖过程中跨学科护理的重要性.
主要方法:
- 关于生育能力,怀孕结果和IBD药物安全性的文献综述.
- 对妊娠期间IBD爆发的风险分析和管理策略.
- 关于怀孕前咨询和分娩管理的综合建议.
主要成果:
- 在IBD患者中,生育能力通常保持不变,除非有较高的疾病活性或特定的外科病史.
- 大多数IBD药物在怀孕期间是安全的;建议继续服用以防止复发.
- IBD患者面临早产和剖腹产的风险增加,尽管阴道分娩通常是可行的.
结论:
- 对于想要怀孕的IBD患者来说,跨学科团队的全面预孕咨询是必不可少的.
- 活跃的围疾病可能需要剖腹产.
- 密切监测和量身定制的管理是IBD患者成功怀孕结果的关键.
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