关于在炎症性肠病中管理怀孕的全球共识声明
Uma Mahadevan1, Cynthia H Seow2, Edward L Barnes3
1Gastroenterology, University of California, San Francisco, San Francisco, California, USA uma.mahadevan@ucsf.edu.
Gut
|August 28, 2025
概括
孕妇患有炎症性肠病 (IBD) 需要谨慎管理. 这一全球共识提供了基于数据的指导,以改善IBD患者的孕产妇和婴儿健康状况.
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.
- 不同的医疗服务提供者知识和指导方针给患者和医生带来困惑.
研究的目的:
- 建立在怀孕期间治疗IBD的最佳实践.
- 为全球医疗保健提供者和患者提供数据驱动的指导.
- 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流程,在专家意见方面使用RAND流程.
- 建议优先考虑母亲的健康,以支持婴儿的健康.
- 召集了39名IBD专家和7名患者倡导者的全球联盟.
主要成果:
- 开发了34个GRADE建议和35个共识声明.
- 组织发现成十个不同的类别.
- 解决了孕期IBD管理的关键方面.
结论:
- 该联盟旨在为全球的IBD孕妇提供实用,基于证据的指导.
- 目标是标准化和提高孕妇IBD患者的护理质量.
- 这些共识声明为改善临床决策提供了框架.
关键词:
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