scholarly journals Interdisciplinary Aspects of Chronic Inflammatory Bowel Diseases

2019 ◽  
Vol 35 (6) ◽  
pp. 359-361
Author(s):  
Georg Kähler ◽  
Ulrich Böcker ◽  
Robert Ehehalt ◽  
Martin Götz ◽  
Peter Hasselblatt ◽  
...  
Keyword(s):  
Inflammatory Bowel Diseases ◽  
Chronic Inflammatory Bowel Diseases ◽  
Bowel Diseases ◽  
Inflammatory Bowel ◽  
Chronic Inflammatory Bowel

scholarly journals Optimization of antenatal monitoring approaches of women with chronic inflammatory bowel diseases

2021 ◽  
pp. 84-92
Author(s):  
O.V. Bulavenko Bulavenko ◽  
D.G. Konkov ◽  
N.V. Kuzminova ◽  
T.V. Lobastova ◽  
I.V. Oleksienko
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Inflammatory Bowel Diseases ◽  
Clinical Guidelines ◽  
Cochrane Library ◽  
Chronic Inflammatory Bowel Diseases ◽  
Increased Risk ◽  
Bowel Diseases ◽  
Inflammatory Bowel ◽  
Chronic Inflammatory Bowel

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.

scholarly journals Lifestyle Issues in Children and Adolescents with Chronic Inflammatory Bowel Diseases

1990 ◽  
Vol 4 (7) ◽  
pp. 364-368 ◽  
Author(s):  
P Sherman ◽  
A Griffiths ◽  
M Marcon ◽  
C Smith ◽  
R Geist
Keyword(s):  
Children And Adolescents ◽  
Extracurricular Activities ◽  
Inflammatory Bowel Diseases ◽  
School Attendance ◽  
Pubertal Development ◽  
Growth Failure ◽  
Chronic Inflammatory Bowel Diseases ◽  
Bowel Diseases ◽  
Inflammatory Bowel ◽  
Chronic Inflammatory Bowel

The goals of therapy in chronic inflammatory bowel diseases in pediatrics include decreasing mucosa! inflammation, the restoration of optimal growth and pubertal development, and the return to a normal, age-appropriate lifestyle. The latter is best served by minimizing restrictions; for example, school attendance, extracurricular activities, travel and the child's interactions with both siblings and peers. In most instances dietary restrictions are also inappropriate and may prove detrimental. Children and adolescents are not simply 'little adults'. Teenagers dread being perceived as different from their peers. They are especially bothered therefore by cosmetic side effects associated with corticosteroid therapy and by impaired growth and pubertal development. Although not discussed openly, many adolescents are also concerned about their subsequent ability to have children and the potential for future development of neoplasms. The great majority of affected children adapt and function very well. Psychosocial factors, although clearly not the cause of inflammatory bowel diseases, are operative in many subsets of children with less than optimal function in daily activities. Children at particular risk are those with premorbid low self-esteem, dysfunction in family dynamics, or severe growth failure. Intervention and support provided through psychiatric and medical social work consultations and by the involvement of self-help groups are often key determinants for restoration of a normal lifestyle. Information about the underlying chronic disease, when provided at a level that is appropriate for age and cognitive function, can decrease anxiety and fears by reducing uncertainty and promoting a feeling of control.

Sign in / Sign up

Export Citation Format

Share Document