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Multidisciplinary Perinatal Care in IBD.
Godny, Lihi; Svolos, Vaios; Williams, Astrid-Jane; Czuber-Dochan, Wladyslawa; Aloi, Marina; Ibarra, Ana; O'Hanlon, Dearbhaile V; Dragoni, Gabriele; Avni Biron, Irit; Campmans-Kuijpers, Marjo; Collins, Paul; Eder, Piotr; Pfeffer-Gik, Tamar; Jäghult, Susanna; Wall, Catherine L.
Afiliación
  • Godny L; Division of Gastroenterology, Rabin Medical Center, Petah-Tikva, Israel.
  • Svolos V; Nutrition Unit, Rabin Medical Center, Petah-Tikva, Israel.
  • Williams AJ; Faculty of Health Sciences, Metropolitan College, Larisa, Greece.
  • Czuber-Dochan W; Human Nutrition, School of Medicine, Dentistry & Nursing, College of Medical, Veterinary, and Life Sciences, University of Glasgow, Glasgow, UK.
  • Aloi M; Department of Gastroenterology, Liverpool Hospital, Sydney, Australia.
  • Ibarra A; South Western Sydney Local Health District Clinical School, University of New South Wales, Sydney, Australia.
  • O'Hanlon DV; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
  • Dragoni G; Pediatric Gastroenterology Unit, Department of Maternal and Child Health, Sapienza University, Umberto I Hospital, Rome, Italy.
  • Avni Biron I; Inflammatory Bowel Disease, Barts Health NHS Trust, London, UK.
  • Campmans-Kuijpers M; Nutrition & Dietetics, Guy's & St. Thomas's NHS Foundation Trust, London, UK.
  • Collins P; IBD Referral Center, Department of Gastroenterology, Careggi University Hospital, Florence, Italy.
  • Eder P; Gastroenterology Research Unit, Department of Experimental and Clinical Biochemical Sciences 'Mario Serio', University of Florence, Florence, Italy.
  • Pfeffer-Gik T; Division of Gastroenterology, Rabin Medical Center, Petah-Tikva, Israel.
  • Jäghult S; Department of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, the Netherlands.
  • Wall CL; Department of Gastroenterology and Hepatology, Royal Liverpool University Hospital, Liverpool, UK.
J Crohns Colitis ; 17(5): 663-680, 2023 May 03.
Article en En | MEDLINE | ID: mdl-36541887
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Inflamatorias del Intestino / Enfermedad de Crohn / Gastroenterólogos Límite: Child / Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Crohns Colitis Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Inflamatorias del Intestino / Enfermedad de Crohn / Gastroenterólogos Límite: Child / Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Crohns Colitis Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Reino Unido