全球共识声明 关于在炎症性肠病中管理怀孕
Uma Mahadevan1, Cynthia H Seow2, Edward L Barnes3
1Division of Gastroenterology, Department of Medicine, University of California, San Francisco, California, USA.
这项研究提供了关于在怀孕期间管理炎症性肠病 (IBD) 的全球共识,为改善母亲和婴儿健康结果提供了数据驱动的指导.
科学领域:
- 胃肠病学
- 妇产科
- 公共卫生
背景情况:
- 由于治疗和管理的高质量数据有限,孕妇患有炎症性肠病 (IBD) 面临独特的挑战.
- 患者和提供者缺乏知识导致各种做法,影响怀孕率,药物坚持和健康结果.
- 相互矛盾的国际准则强调需要标准化,基于证据的建议.
研究的目的:
- 建立有关孕妇炎症性肠病 (IBD) 管理最佳实践的全球共识.
- 解决知识差距,并标准化怀孕期IBD患者的护理.
- 制定数据驱动的指导方针,以改善母亲和婴儿的健康状况.
主要方法:
- 使用GRADE (推评估,开发和评估等级) 程序进行数据驱动的推.
- 在需要专家共识的领域采用RAND流程,而已公布的数据不足.
- 在所有建议中优先考虑母亲健康作为支持婴儿健康的基石.
主要成果:
- 在十个主要主题类别中制定了34个GRADE建议和35个共识声明.
- 综合了当前的数据和专家意见,制定了全面的指导方针.
- 确定需要进一步研究的领域,以加强基于证据的实践.
结论:
- 全球共识协会为孕期IBD的全球管理提供了实用,数据驱动的指导.
- 旨在改善IBD孕妇及其婴儿的护理一致性和改善结果.
- 强调专家和患者倡导者之间的国际合作的重要性,以完善临床实践.
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