炎症性肠病妊娠期管理的专家共识意见

Consensus on the management of inflammatory bowel disease during pregnancy

炎症性肠病大多于中青年发病,会面临生育问题,故加强妊娠前咨询、优化妊娠期管理可改善不良妊娠结局,提高患者生命质量.本共识基于循证医学依据和Delphi方法,在妊娠前指导和管理、妊娠期管理、分娩方式、哺乳期管理与婴儿疫苗接种共5个方面达成初步共识,为临床工作提供指导.

Inflammatory bowel disease(IBD)is more common in young and middle-aged people who are in their childbearing age.The management of IBD poses a particular challenge during pregnancy because the health of both the mother and the fetus must be considered.Therefore,pre-pregnancy counseling and optimizing management during pregnancy can improve pregnancy outcomes and quality of life of patients with IBD.Based on evidence-based medicine and Delphi methods,this consensus reached a preliminary consensus on pre-pregnancy guidance and management,management during pregnancy,delivery methods,lactation management and infant vaccination,to provide guidance for clinical practice.