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.
概括
这一全球共识为孕妇的炎症性肠病 (IBD) 提供了基于证据的指导,旨在通过标准化的护理实践改善孕妇和婴儿的健康状况.
科学领域:
- 胃肠病学
- 妇产科
- 公共卫生
背景情况:
- 孕妇患有炎症性肠病 (IBD) 存在重大风险.
- 有限的高质量研究和关于孕期IBD药物的数据.
- 不同的提供者知识和全球指导方针在IBD怀孕护理中造成混乱.
研究的目的:
- 为全球孕妇管理IBD制定数据驱动的实用指南.
- 解决怀孕期间IBD患者的知识差距和标准化护理.
- 改善孕妇怀孕率,药物服药以及IBD妇女的治疗结果.
主要方法:
- 在数据丰富的领域使用GRADE (建议评估,开发和评估等级) 过程.
- 采用RAND (研究与开发) 流程,以获得专家意见的共识.
- 作为最佳婴儿健康的基础, 优先考虑母亲健康.
主要成果:
- 在十个关键主题中制定了34个GRADE建议和35个共识声明.
- 综合了目前的数据和专家意见,形成了全面的指导方针.
- 在怀孕期间解决IBD管理的关键方面.
结论:
- 该联盟的目标是为改善全球IBD孕妇护理提供实用,基于研究的指导.
- 旨在减少对IBD孕妇的混乱,并促进一致的高质量护理.
- 强调证据和专家共识在管理这种复杂的患者群体的重要性.
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