OBJECTIVES: Evaluate the management of pregnant women with inflammatory bowel disease. METHOD: We collected data from maternity records for women with IBD who gave birth at The Royal London Hospital between January 2018 and February 2019. RESULTS: Twenty-three pregnancies were identified where 8/23 (35%) women had a peri-conception flare and 7/23 (30%) had a flare during pregnancy. Two women received pre-conception counselling. The obstetric medicine team reviewed a patient on average three times and the gastroenterologists twice, during pregnancy. Nine women (39%) gave birth pre-term. Mean birthweight was lower in the group with active disease at conception compared with those in remission (2173 g vs. 2807 g, p = 0.03). CONCLUSIONS: Women with IBD should all receive pre-conception counselling to reduce the risk of pregnancy complications. By developing a multidisciplinary care pathway for pregnant women with IBD (which includes a joint obstetric/gastroenterology clinic), this will ensure care is standardised throughout the pregnancy and puerperium.
OBJECTIVES: Evaluate the management of pregnant women with inflammatory bowel disease. METHOD: We collected data from maternity records for women with IBD who gave birth at The Royal London Hospital between January 2018 and February 2019. RESULTS: Twenty-three pregnancies were identified where 8/23 (35%) women had a peri-conception flare and 7/23 (30%) had a flare during pregnancy. Two women received pre-conception counselling. The obstetric medicine team reviewed a patient on average three times and the gastroenterologists twice, during pregnancy. Nine women (39%) gave birth pre-term. Mean birthweight was lower in the group with active disease at conception compared with those in remission (2173 g vs. 2807 g, p = 0.03). CONCLUSIONS: Women with IBD should all receive pre-conception counselling to reduce the risk of pregnancy complications. By developing a multidisciplinary care pathway for pregnant women with IBD (which includes a joint obstetric/gastroenterology clinic), this will ensure care is standardised throughout the pregnancy and puerperium.
Authors: N Tavernier; M Fumery; L Peyrin-Biroulet; J-F Colombel; C Gower-Rousseau Journal: Aliment Pharmacol Ther Date: 2013-09-04 Impact factor: 8.171
Authors: C J van der Woude; S Ardizzone; M B Bengtson; G Fiorino; G Fraser; K Katsanos; S Kolacek; P Juillerat; A G M G J Mulders; N Pedersen; C Selinger; S Sebastian; A Sturm; Z Zelinkova; F Magro Journal: J Crohns Colitis Date: 2015-02 Impact factor: 9.071
Authors: Alison de Lima-Karagiannis; Zuzana Zelinkova-Detkova; Christien Janneke van der Woude Journal: Am J Gastroenterol Date: 2016-06-28 Impact factor: 10.864