Paper Details 
Original Abstract of the Article :
The management of inflammatory bowel disease requires continuous medical therapy to achieve and maintain disease control. Thus, women can be exposed to different drugs during conception, pregnancy, and lactation with potentially harmful effects on the mother, foetus, or nursing infant. Conventional ...See full text at original site
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ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。

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* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。


引用元:
https://doi.org/10.1016/j.dld.2023.08.054

データ提供:米国国立医学図書館(NLM)

New Drugs for IBD Treatment During Pregnancy and Lactation

The management of inflammatory bowel disease (IBD) is a complex endeavor, especially for women navigating the transitions of conception, pregnancy, and lactation. This review examines the safety and efficacy of various IBD treatments during these sensitive periods. The authors discuss the established safety of conventional drugs and anti-tumor necrosis factor (TNF)-α therapies throughout all phases. They also provide emerging evidence for the safety of vedolizumab and ustekinumab during pregnancy, with maternal and neonatal outcomes comparable to those of women not exposed to these drugs or treated with anti TNF-α therapies. The review highlights the pharmacokinetic differences between these biologics, suggesting potential variations in infant exposure and clearance.

Navigating IBD Treatment During Pregnancy

The review provides valuable information for healthcare professionals and women with IBD, enabling informed decision-making regarding treatment during pregnancy and lactation. The authors emphasize the importance of individualized care, considering the specific needs of each patient and the risks and benefits of different treatment options. The review underscores the need for continued research to gather more data on the long-term safety and efficacy of emerging IBD therapies during these crucial phases.

A Journey Through Pregnancy and IBD

This research journey through the complexities of IBD management during pregnancy and lactation highlights the importance of considering the delicate balance between maternal well-being and fetal safety. The authors' exploration of various treatments and their pharmacokinetic profiles empowers healthcare professionals and women with IBD to make informed decisions about their care.

Dr.Camel's Conclusion

The journey of pregnancy and motherhood is a transformative experience, and for women with IBD, it requires careful navigation. This review provides valuable insights into the safety and efficacy of various IBD treatments during these critical phases, reminding us that the quest for effective care involves understanding the intricacies of human health and the delicate balance between maternal well-being and fetal development. It encourages us to continue seeking knowledge and fostering collaboration between researchers, clinicians, and patients to optimize care for women with IBD throughout their reproductive journey.

Date :
  1. Date Completed n.d.
  2. Date Revised 2023-10-03
Further Info :

Pubmed ID

37718225

DOI: Digital Object Identifier

10.1016/j.dld.2023.08.054

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English

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