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MINERVA GASTROENTEROLOGICA E DIETOLOGICA

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  NEW CONCEPTS AND CURRENT CHALLENGES IN IBD


Minerva Gastroenterologica e Dietologica 2013 September;59(3):285-97

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Reproduction in the patient with inflammatory bowel disease

Selinger C. P.

Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK


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Inflammatory bowel disease (IBD) often occurs in women of childbearing age and requires complex treatment decision. IBD can have profound influences on fertility, the course of a pregnancy, child birth and lactation. Many women with IBD remain voluntarily childless and patient knowledge of pregnancy related issues is generally poor, which can lead to negative views regarding IBD treatments. To achieve good clinical outcomes for mother and infant a balance has to be struck between the risks of any IBD treatment and the risks of untreated IBD. The advent of the biological age has brought another level of complexity. While more data demonstrating the safe use in pregnancy have recently emerged, effects on infants continue for up to 6 months with important implications on vaccination plans. This review discusses recent advances in the field of IBD and reproduction.

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Christian.selinger@web.de