Pregnancy-Onset Inflammatory Bowel Disease: A Subtle Diagnosis.

作者: Benjamin Koslowsky , Sorina Grisaru-Granovsky , Dan Meir Livovsky , Yael Milgrom , Eran Goldin

DOI: 10.1093/IBD/IZY081

关键词:

摘要: Background Inflammatory bowel diseases (IBDs) are commonly diagnosed during the reproductive years. IBD first manifested pregnancy (pregnancy-onset [POIBD]) is still an undescribed entity. The aim of study was to evaluate characteristics and maternal neonatal outcomes patients with POIBD. Methods Data all pregnant women within a single multidisciplinary referral clinic, IBD-MOM, between 2011-2016, were analyzed. Maternal compared POIBD group those before (non-POIBD). Results We identified 237 women, 31 (15%) from 206 (85%) non-POIBD group. Eight (3.5%) experienced early spontaneous loss, in diagnosis occurred 16 (52%) trimester, 10 (32%) second 5 (16%) third trimester. Diagnosis ulcerative colitis (UC) significantly more common (22/31, 71% vs 50/206, 24%, respectively, P < 0.001). More UC than Crohn's disease had active (69% 50%, = 0.03, respectively). vaginal delivery 100% births, 164 (79.6%) (P 0.017). mean gestational age at birth weight similar among groups; 38.6 weeks 3040 g for patients, 38.7 3055 Conclusions unique clinical entity, mostly UC. However, similar.

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