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Management of Inflammatory Bowel Disease during Pregnancy and Breastfeeding Varies Widely: A Need for Further Education
المؤلفون المشاركون
Fedorak, Richard N.
Huang, Vivian W.
Kroeker, Karen I.
Dieleman, Levinus A.
Chang, Hsiu-Ju
Goodman, Karen Jean
Hegadoren, Kathleen M.
المصدر
Canadian Journal of Gastroenterology and Hepatology
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-13، 13ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-09-20
دولة النشر
مصر
عدد الصفحات
13
التخصصات الرئيسية
الملخص EN
Background.
Inflammatory bowel disease (IBD) affects patients in their young reproductive years.
Women with IBD require maintenance therapies during pregnancy and breastfeeding.
However, physician management of IBD during pregnancy and breastfeeding has not been well characterized.
Objective.
To characterize physician perceptions and management of IBD during pregnancy and breastfeeding.
Methods.
A cross-sectional survey of Canadian physicians who are involved in the care of women with IBD was conducted.
The survey included multiple-choice and Likert scale questions about perceptions and practice patterns regarding the management of IBD during pregnancy and breastfeeding.
Results.
183 practicing physicians completed the questionnaire: 97/183 (53.0%) gastroenterologists; 75/183 (41.0%) general practitioners; and 11/183 (6.0%) other physicians.
Almost half (87/183, 47.5%) of the physicians felt comfortable managing pregnant IBD patients.
For specified IBD medications, proportions of physicians who indicated they would continue them during pregnancy were as follows: sulfasalazine, 47.4%; oral mesalamine, 67.0%; topical mesalamine, 70.3%; oral prednisone, 68.0%; topical prednisone, 78.0%; oral budesonide, 61.6%; topical budesonide, 75.0%; ciprofloxacin, 15.3%; metronidazole, 31.4%; azathioprine, 57.1%; methotrexate, 2.8%; infliximab, 55.6%; adalimumab, 78.1%.
Similar proportions of physicians would continue these medications during breastfeeding.
A higher proportion of gastroenterologists than nongastroenterologists indicated appropriate use of these IBD medications during pregnancy and breastfeeding.
Conclusions.
Physician management of IBD during pregnancy and breastfeeding varies widely.
Relative to other physicians, responses of gastroenterologists more frequently reflected best practices pertaining to medications for control of IBD during pregnancy and breastfeeding.
There is a need for further education regarding the management of IBD during pregnancy and breastfeeding.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Huang, Vivian W.& Chang, Hsiu-Ju& Kroeker, Karen I.& Goodman, Karen Jean& Hegadoren, Kathleen M.& Dieleman, Levinus A.…[et al.]. 2016. Management of Inflammatory Bowel Disease during Pregnancy and Breastfeeding Varies Widely: A Need for Further Education. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-13.
https://search.emarefa.net/detail/BIM-1099899
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Huang, Vivian W.…[et al.]. Management of Inflammatory Bowel Disease during Pregnancy and Breastfeeding Varies Widely: A Need for Further Education. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-13.
https://search.emarefa.net/detail/BIM-1099899
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Huang, Vivian W.& Chang, Hsiu-Ju& Kroeker, Karen I.& Goodman, Karen Jean& Hegadoren, Kathleen M.& Dieleman, Levinus A.…[et al.]. Management of Inflammatory Bowel Disease during Pregnancy and Breastfeeding Varies Widely: A Need for Further Education. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-13.
https://search.emarefa.net/detail/BIM-1099899
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1099899
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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