Gawron Lori M, Johnson Jessica B, Flynn Ann D, Woodcock Alexandra L
Division of Family Planning , Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah.
Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah.
Gastroenterol Hepatol (N Y). 2024 Aug;20(6):330-334.
Federal protections for abortion care in the United States ended in June 2022. For people with inflammatory bowel disease (IBD) who are capable of pregnancy, the implications of an unwanted or mistimed conception, particularly in the setting of active disease flares or teratogenic treatment, are precarious and geographically variable. Prioritizing evidence-based and person-centered counseling for preconception health and contraceptive care needs is important during health care visits and not limited to reproductive health providers. Development of multidisciplinary clinics or complex contraception clinics in high-volume IBD centers can support time-sensitive counseling and services for patients. This article reviews reproductive considerations for people with IBD, particularly in the setting of legislative restrictions in the post-Dobbs landscape.
2022年6月，美国终止了对堕胎护理的联邦保护。对于有怀孕能力的炎症性肠病（IBD）患者来说，意外怀孕或时机不当怀孕的影响，尤其是在疾病活跃发作或进行致畸治疗的情况下，是不稳定的，而且因地区而异。在医疗就诊期间，优先提供基于证据且以患者为中心的孕前健康咨询和避孕护理需求，这一点很重要，且不仅限于生殖健康服务提供者。在大型IBD中心设立多学科诊所或复杂避孕诊所，可以为患者提供时效性强的咨询和服务。本文回顾了IBD患者的生殖相关考量因素，尤其是在多布斯案后的立法限制背景下。
