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Digestive Diseases and Sciences
Erschienen in: Digestive Diseases and Sciences 8/2016

11.04.2016 | Review

Management of Inflammatory Bowel Disease During Pregnancy

verfasst von: Ariella Bar-Gil Shitrit, Sorina Grisaru-Granovsky, Ami Ben Ya’acov, Eran Goldin

Erschienen in: Digestive Diseases and Sciences | Ausgabe 8/2016

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Abstract

Inflammatory bowel disease (IBD) usually affects women during their reproductive years and many concerns arise among these young patients. Pre-pregnancy consultation with a multi-disciplinary team is very important. The team should make patients aware of the critical importance of ensuring that conception occurs during a period of disease remission. Conception during an IBD flare-up results in disease activity or even exacerbates disease in two-thirds of women. Exacerbation of the disease is associated with increased frequency of maternal and fetal complications. Drug therapy constitutes a considerable source of patient anxiety but most drugs used for treating IBD are considered safe. Therefore, continuing pharmacological therapy during pregnancy is necessary to maintain disease control. Optimization of pre-conception nutritional status and smoking cessation are also emphasized. The general guideline for most patients, except for active perianal disease patients, is to aim for vaginal delivery in the absence of obstetric contraindications. Consistent, ongoing follow-up, as detailed in this review, should allay the anxieties and fears surrounding continuing immunosuppressive drugs during pregnancy, allowing each patient to attain the optimal conditions for achieving her goal of holding a healthy baby.
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Metadaten
Titel
Management of Inflammatory Bowel Disease During Pregnancy
verfasst von
Ariella Bar-Gil Shitrit
Sorina Grisaru-Granovsky
Ami Ben Ya’acov
Eran Goldin
Publikationsdatum
11.04.2016
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 8/2016
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-016-4139-9

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