炎症性肠病孕妇的医疗管理

Medical management of the pregnant patient with inflammatory bowel disease.

作者信息

Steinlauf Adam F, Present Daniel H

机构信息

Mount Sinai School of Medicine, Mount Sinai Hospital, 12 East 86th Street, New York, NY 10028, USA.

出版信息

Gastroenterol Clin North Am. 2004 Jun;33(2):361-85, xi. doi: 10.1016/j.gtc.2004.02.013.

DOI:10.1016/j.gtc.2004.02.013

PMID:15177544

Abstract

Gastroenterologists are not infrequently faced with questions regarding pregnancy when advising or treating their patients with inflammatory bowel disease (IBD). To advise patients effectively, the following factors must be considered: (1) the inheritance patterns of IBD for accurate counseling and family planning; (2) the effects of active IBD versus medications or surgery on fertility; (3) the effects of pregnancy on the course of IBD; (4) the effects and potential risks of active IBD versus those of diagnostic tests, medical treatments, and surgical treatments on the developing fetus; (5) approach to delivery; and (6) the risks of breast-feeding while receiving treatment for IBD.

摘要

胃肠病学家在为炎症性肠病（IBD）患者提供建议或治疗时，经常会面临与妊娠相关的问题。为了有效地为患者提供建议，必须考虑以下因素：（1）IBD的遗传模式，以便进行准确的咨询和计划生育；（2）活动性IBD与药物或手术对生育能力的影响；（3）妊娠对IBD病程的影响；（4）活动性IBD与诊断检查、药物治疗和手术治疗对发育中胎儿的影响及潜在风险；（5）分娩方式；（6）IBD治疗期间进行母乳喂养的风险。