De Dycker Els, Lenie Sien, Ceulemans Michael, Geens Patricia, Lambrechts Tessy, Loddewijkx Elien, Paps Ariane, Degry Justien, D'Hondt Caroline, Matthijs Annelies, Vermeire Séverine, Sabino João, Verstockt Bram, Lannoo Lore, Van Calsteren Kristel, Ferrante Marc
Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, 3000 Leuven, Belgium.
Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, 3000 Leuven, Belgium.
J Clin Med. 2025 Apr 11;14(8):2644. doi: 10.3390/jcm14082644.
: Recent advancements have significantly enhanced our understanding of the interplay between inflammatory bowel disease (IBD) and reproductive health. While international organizations provide guidelines for best practices, translating them into actionable strategies is crucial. This study aimed to develop a comprehensive care pathway to enhance preconception counselling and support for patients with IBD in the perinatal period, ensuring they receive optimal expert care. : We used the 7-phase model for the development of the care pathway. : The resulting care pathway, structured as a time-task matrix, outlines the required actions at preconception, during pregnancy, and in the postpartum period for women with IBD. The pathway provides a structured and multidisciplinary approach that addresses the unique needs of patients with IBD of childbearing age. It emphasizes holistic and personalized support throughout the preconception, pregnancy, and postpartum period. : The development of this care pathway represents a significant advancement in the perinatal management of IBD. By offering multidisciplinary and individualized care, optimal maternal and infant outcomes are pursued, while establishing a new global standard for reproductive health and perinatal management.
近期的进展显著增进了我们对炎症性肠病（IBD）与生殖健康之间相互作用的理解。虽然国际组织提供了最佳实践指南，但将其转化为可操作的策略至关重要。本研究旨在制定一条全面的护理路径，以加强围产期IBD患者的孕前咨询和支持，确保他们获得最佳的专家护理。我们使用了7阶段模型来制定护理路径。由此产生的护理路径以时间 - 任务矩阵的形式构建，概述了IBD女性在孕前、孕期和产后所需采取的行动。该路径提供了一种结构化的多学科方法，满足了育龄IBD患者的独特需求。它强调在孕前、孕期和产后期间提供全面和个性化的支持。这条护理路径的制定代表了IBD围产期管理的重大进展。通过提供多学科和个性化护理，追求最佳的母婴结局，同时建立生殖健康和围产期管理的新全球标准。
