Godny, L. et al. (2023) Multidisciplinary perinatal care in IBD. Journal of Crohn's and Colitis, 17(5), pp. 663-680. (doi: 10.1093/ecco-jcc/jjac189) (PMID:36541887)
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Abstract
Background and Aims: Patients with inflammatory bowel disease [IBD] are often affected during their reproductive years and may have many perinatal queries that require the comprehensive perspectives of a multidisciplinary team [MDT]. The purpose of this topical review is to assess the scientific evidence and provide expert opinion related to nutritional, psychological and supportive care of women and their infants throughout the prenatal, antenatal and infant periods. Methods: A consensus expert panel of a paediatrician, gastroenterologists, nurses and dietitians was convened by the European Crohn’s and Colitis Organisation. This panel critically reviewed literature related to the non-medical management of patients with IBD during preconception, pregnancy, the postnatal period and the first years of the infant’s life. Statements were developed using an e-Delphi process over two rounds and were confirmed when ≥80% of experts agreed with the statements. Results: A total of 19 current practice positions were developed that cover the preconception period, pregnancy and lactation, and early-life exposures associated with risk of IBD. Development of the infant microbiome and its role in the immune system and topics including nutritional optimization, psychological support and education relating to early life were reviewed. Conclusions: Patients with IBD have unique nutritional and psychosocial needs that may affect fertility and pregnancy outcomes. The early-life environment of infants born to parents with IBD may be associated with subsequent development of IBD in offspring. An MDT is the optimal setting to support and counsel patients throughout the perinatal period.
| Item Type: | Articles |
|---|---|
| Additional Information: | This work was supported by the European Crohn’s and Colitis Organisation. |
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Svolos, Dr Vaios |
| Authors: | Godny, L., Svolos, V., Williams, A.-J., Czuber-Dochan, W., Aloi, M., Ibarra, A., O’Hanlon, D. V., Dragoni, G., Avni Biron, I., Campmans-Kuijpers, M., Collins, P., Eder, P., Pfeffer-Gik, T., Jäghult, S., and Wall, C. L. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
| Journal Name: | Journal of Crohn's and Colitis |
| Publisher: | Oxford University Press |
| ISSN: | 1873-9946 |
| ISSN (Online): | 1876-4479 |
| Published Online: | 20 December 2022 |
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