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Оптимізація підходів до антенатального спостереження жінок із хронічними запальними захворюваннями кишечника

Show simple item record Булавенко, О. В. uk Коньков, Д. Г. uk Кузьмінова, Н. В. uk Лобастова, Т. В. uk Олексієнко, І. В. uk Bulavenko, O. V. en Konkov, D. G. en Kuzminova, N. V. en Lobastova, T. V. en Oleksienko, I. V. en 2021-04-29T10:48:30Z 2021-04-29T10:48:30Z 2021
dc.identifier.citation Оптимізація підходів до антенатального спостереження жінок із хронічними запальними захворюваннями кишечника / О. В. Булавенко, Д. Г. Коньков, Н. В. Кузьмінова [та ін.] // Репродуктивна ендокринологія. – 2021. – № 1(57). – С. 84–92. uk
dc.description.abstract Chronic inflammatory bowel diseases (CIBD) affect patients at their peak of reproductive age. Clinical presentation of CIBD in pregnancy is associated with an increased risk of adverse effects in mother and fetus, including prematurity, low birth weight, increased indications for caesarean section. Thus optimizing of the CIBD diagnosis and treatment before and during pregnancy is essential to improve maternal and fetal outcomes. Research aim: to analyze the effectiveness of the CIBD clinical management at the stage of preconception and during pregnancy. Materials and methods. It was searched the Cochrane Library, WHO platform, clinical guidelines, and research reference database Medline. All potential studies have evaluated the clinical practice guidelines in women with CIBD for conception, pregnancy and breastfeeding. Recommendations related to the necessary laboratory and instrumental examination methods, therapeutic strategy, the safety of drugs for mother and fetus, the features of multidisciplinary antenatal observation, the timing and method of delivery of pregnant women with CIBD. Results. Treatment in the planning phase and pregnancy should be multidisciplinary, involving a gastroenterologist, obstetrician-gynecologist, primary care physician, pediatrician and a colorectal surgeon if necessary, as well as stakeholders from the association of patients with CIBD. Communication between these professionals is critical to avoid ambivalent or even conflicting counseling, which is an additional source of anxiety for patients, and also potentially dangerous for suboptimal prevention of clinical CIBD manifestation. Obtained results of the analysis will prevent laboratory and therapeutic polypharmacy and significantly improve the pregnancy outcome. Conclusions. Most women with CIBD had a physiological pregnancy and healthy children. However, some studies have linked CIBD to an increased risk of preterm birth and low birth weight infants. The development of national clinical guidelines will optimize and improve the quality of perinatal care to women with CIBD in the Ukraine, and will lead to a decrease in obstetric, fetal and neonatal complications. en
dc.language.iso uk_UA_ uk
dc.publisher Репродуктивна ендокринологія uk
dc.subject хронічні запальні захворювання кишечника uk
dc.subject виразковий коліт uk
dc.subject хвороба Крона uk
dc.subject зачаття uk
dc.subject вагітність uk
dc.subject грудне вигодовування uk
dc.subject chronic inflammatory bowel diseases en
dc.subject ulcerative colitis en
dc.subject Crohn's disease en
dc.subject pregnancy en
dc.subject breastfeeding en
dc.title Оптимізація підходів до антенатального спостереження жінок із хронічними запальними захворюваннями кишечника uk
dc.title.alternative Optimization of antenatal monitoring approaches of women with chronic inflammatory bowel diseases en
dc.type Article en

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