Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
IBD MOM Unit, Digestive Diseases Institute, Shaare Zedek Medical Center, Affiliated with the Medical School, Hebrew University, Jerusalem, Israel.
Best Pract Res Clin Gastroenterol. 2020 Feb-Apr;44-45:101666. doi: 10.1016/j.bpg.2020.101666. Epub 2020 Jan 16.
Inflammatory bowel diseases (IBD) are commonly diagnosed in women of childbearing age. As such, pregnancy is often encountered in this subset of patients. Management of pregnancy in IBD patients poses numerous challenges as ensuring the safety of the mother and the fetus is required. Disease remission prior to pregnancy is a key determinant of both the course of IBD throughout gestation and pregnancy outcome. Thus, adequate preconception care is of paramount importance in order to achieve optimal maternal and perinatal outcomes and maintain disease quiescence throughout gestation. In addition, preconception care has a major role in improving patient's knowledge, concerns and misbeliefs related to reproductive-health issues among IBD patients. In this review, we discuss the various aspects involved in the preconception care of IBD patients.
炎症性肠病（IBD）在育龄妇女中常被诊断出来。因此，这部分患者经常会遇到怀孕的情况。IBD 患者的妊娠管理面临着许多挑战，因为需要确保母亲和胎儿的安全。妊娠前疾病缓解是影响整个妊娠期 IBD 病程和妊娠结局的关键决定因素。因此，充分的孕前保健对于实现最佳母婴和围产期结局以及在整个妊娠期保持疾病缓解至关重要。此外，孕前保健在改善 IBD 患者与生殖健康问题相关的知识、关注点和误解方面也起着重要作用。在这篇综述中，我们讨论了涉及 IBD 患者孕前保健的各个方面。
