妊娠期炎症性肠病：在东伦敦制定多学科护理路径
Inflammatory bowel disease in pregnancy: Developing a multidisciplinary care pathway in East London.
作者信息
Kaler Mandeep K, Malina Madeleine, Kok Klaartje, Khan Rehan
机构信息
Royal London Hospital, London, UK.
出版信息
Obstet Med. 2021 Dec;14(4):235-241. doi: 10.1177/1753495X211009747. Epub 2021 May 6.
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, = 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.
目的
评估炎症性肠病孕妇的管理情况。
方法
我们收集了2018年1月至2019年2月期间在皇家伦敦医院分娩的炎症性肠病女性的产科记录数据。
结果
共识别出23例妊娠，其中8/23（35%）的女性在受孕前后病情发作，7/23（30%）在孕期病情发作。两名女性接受了孕前咨询。产科医学团队在孕期平均对一名患者进行了三次检查，胃肠病学家进行了两次检查。9名女性（39%）早产。与病情缓解的女性相比，受孕时患有活动性疾病的女性组平均出生体重较低（2173克对2807克，P = 0.03）。
结论
炎症性肠病女性均应接受孕前咨询，以降低妊娠并发症的风险。通过为炎症性肠病孕妇制定多学科护理路径（包括联合产科/胃肠病学门诊），这将确保整个孕期和产褥期的护理标准化。
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