Antenatal Management for Women with Inflammatory Bowel Disease: Experience from Our ‘IBD MOM’ Clinic

Shitrit, Ariella Bar-Gil; Cohen, Yaël; Hassin, Ori; Ya’acov, Ami Ben; Farkash, R; Koslowsky, Benjamin; Milgrom, Yael; Livovsky, Dan M.; Samueloff, Arnon; Goldin, Eran; Grisaru‐Granovsky, Sorina

doi:10.1007/s10620-018-5048-x

Cited by 14 publications

(4 citation statements)

References 17 publications

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“…Pregnant women with moderate or severe IBD who attended the 'IBD MOM' clinic achieved similar perinatal outcomes as women with milder forms of IBD and were comparable to the general population regarding pregnancy complications, birth weight, and C-section rates but had significantly higher rates of preterm delivery, likely attributable to disease severity. 57 Based on these studies, early referral to specialist centres…”

Section: Pre-conception Counselling In Patients With Ibd Who Want To ...mentioning

confidence: 99%

European Crohn’s and Colitis Guidelines on Sexuality, Fertility, Pregnancy, and Lactation

Torres

Chaparro

Julsgaard

et al. 2022

Journal of Crohn's and Colitis

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Inflammatory bowel disease has a high incidence and prevalence especially in young individuals in their reproductive years. Trying to conceive and being pregnant is an emotional period for those involved. In the majority of patients suffering from inflammatory bowel disease, maintenance therapy is required during pregnancy to control the disease, and disease control might necessitate introduction of new drugs during a vulnerable period. Therefore, the management of patients with a wish to conceive and during pregnancy requires specialized counselling and appropriate management including a multidisciplinary approach and close involvement of the prospective parents under a shared decision-making model. This updated consensus paper addresses these issues and is aimed to optimize pre-conceptional, pregnancy and post pregnancy counselling, including the monitoring and therapeutic management of patients with IBD patients with a wish to conceive.

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Section: Pre-conception Counselling In Patients With Ibd Who Want To ...mentioning

confidence: 99%

European Crohn’s and Colitis Guidelines on Sexuality, Fertility, Pregnancy, and Lactation

Torres

Chaparro

Julsgaard

et al. 2022

Journal of Crohn's and Colitis

View full text Add to dashboard Cite

show abstract

“…Individuals with these risk factors may benefit from specialized counselling and optimal management strategies in preconception and pregnancy time. Specifically, pregnant individuals who have moderate or severe IBD and are at increased risk for adverse pregnancy outcomes may benefit from this model of care to attempt to reduce their increased risk for adverse outcomes to be comparable to those with milder IBD or the general population ( 67 ). Females with IBD were also at increased risk of developing postpartum depression and anxiety ( 68 ).…”

Section: Pregnancy and Ibdmentioning

confidence: 99%

The 2023 Impact of Inflammatory Bowel Disease in Canada: The Influence of Sex and Gender on Canadians Living With Inflammatory Bowel Disease

Targownik,

Bollegala,

Huang

et al. 2023

Journal of the Canadian Association of Gastroenterology

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Sex (the physical and physiologic effects resulting from having specific combinations of sex chromosomes) and gender (sex-associated behaviours, expectations, identities, and roles) significantly affect the course of inflammatory bowel disease (IBD) and the experience of living with IBD. Sex-influenced physiologic states, like puberty, the menstrual cycle, pregnancy, and andropause/menopause may also impact and be impacted by IBD. While neither Crohn’s disease nor ulcerative colitis is commonly considered sex-determined illnesses, the relative incidence of Crohn’s disease and ulcerative colitis between males and females varies over the life cycle. In terms of gender, women tend to use healthcare resources at slightly higher rates than men and are more likely to have fragmented care. Women are more commonly prescribed opioid medications and are less likely than men to undergo colectomy. Women tend to report lower quality of life and have higher indirect costs due to higher rates of disability. Women are also more likely to take on caregiver roles for children with IBD. Women with IBD are more commonly burdened with adverse mental health concerns and having poor mental health has a more profound impact on women than men. Pregnant people with active IBD have higher rates of adverse outcomes in pregnancy, made worse in regions with poor access to IBD specialist care. The majority of individuals with IBD in Canada do not have access to a pregnancy-in-IBD specialist; access to this type of care has been shown to allay fears and increase knowledge among pregnant people with IBD.

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“…Birth, fertility and breastfeeding can all be affected by IBD; thus referral to an obstetrician could be necessary ( 10 ). Specialized pregnancy planning and ongoing follow-up clinics for patients with IBD have emerged ( 13 ). A referral to psychology or psychiatry may be necessary for patients needing complex medical management of anxiety, depression, or other psychiatric comorbidities ( 1 , 2 , 5 , 8 , 9 ).…”

Section: Resultsmentioning

confidence: 99%

Integrated Care Models: Optimizing Adult Ambulatory Care in Inflammatory Bowel Disease

Schoenfeld

Nguyen

Bernstein

2018

Journal of the Canadian Association of Gastroenterology

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Background Inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, is a chronic, complex and unpredictable disease affecting an increasing number of patients worldwide from a young age. Inflammatory bowel disease is associated with multiple comorbidities and complications, requiring ongoing preventative, acute and chronic care. The purpose of this article is to review the literature on outpatient care models used to treat adults with IBD and to gain insight on how to improve quality of care and reduce costs. Methods A comprehensive review of recent literature on PubMed, Scopus and Google Scholar databases about care models used to treat IBD was performed. Key terms included ‘inflammatory bowel disease’, ‘organizational models’, ‘patient care team’ and ‘quality improvement’. Results Studies showed that an integrated care model decreases hospital admissions, IBD-related surgeries and comorbidities of IBD, ultimately decreasing direct and indirect costs of IBD compared with a more traditional patient-physician model. A gastroenterologist-led multidisciplinary team (MDT) involving comprehensive care by IBD nurses, a surgeon, psychologist, dietician, pharmacist, and other members as needed is recommended. Conclusions A holistic approach to IBD care delivered by a MDT with structured monitoring, active follow-up, patient education and prompt access to care improves outcomes for IBD patients. More research is needed on the cost-effectiveness of integrated care models to demonstrate long-term value and secure funding for implementation. Future research should compare integrated models of care and assess patient and physician satisfaction in these models of delivering IBD care.

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Antenatal Management for Women with Inflammatory Bowel Disease: Experience from Our ‘IBD MOM’ Clinic

Abstract: Women with moderate and severe IBD who attended a multidisciplinary clinic may benefit from this unique center. Healthcare planning policies can assume that costly, multidisciplinary clinics for women with IBD should be reserved for those with moderate and severe disease.

Cited by 14 publications

References 17 publications

European Crohn’s and Colitis Guidelines on Sexuality, Fertility, Pregnancy, and Lactation

European Crohn’s and Colitis Guidelines on Sexuality, Fertility, Pregnancy, and Lactation

The 2023 Impact of Inflammatory Bowel Disease in Canada: The Influence of Sex and Gender on Canadians Living With Inflammatory Bowel Disease

Integrated Care Models: Optimizing Adult Ambulatory Care in Inflammatory Bowel Disease

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