Impact of the coronavirus infectious disease (COVID-19) pandemic on the provision of inflammatory bowel disease (IBD) antenatal care and outcomes of pregnancies in women with IBD

Autor: Shaji Sebastian, Rachel Cooney, Jimmy Limdi, Helen Steed, Aaron Bancil, Veronica Hall, Paul Collins, Christian Philipp Selinger, Alexandra Kent, Aileen Fraser, Lyn Smith, Melanie Gunn, Thean Soon Chew, Georgina Kerry, Kamal V Patel, Maya Roysam, Klaartje Bel Kok
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMJ Open Gastroenterology, Vol 8, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2054-4774
DOI: 10.1136/bmjgast-2021-000603
Popis: Background The impact of COVID-19 on pregnant inflammatory bowel disease (IBD) patients is currently unknown. Reconfiguration of services during the pandemic may negatively affect medical and obstetric care. We aimed to examine the impacts on IBD antenatal care and pregnancy outcomes.Methods Retrospective data were recorded in consecutive patients attending for IBD antenatal care including outpatient appointments, infusion unit visits and advice line encounters.Results We included 244 pregnant women with IBD, of which 75 (30.7%) were on biologics in whom the treatment was stopped in 29.3% at a median 28 weeks gestation. In addition, 9% of patients were on corticosteroids and 21.5% continued on thiopurines. The care provided during 460 patient encounters was not affected by the pandemic in 94.1% but 68.2% were performed via telephone (compared with 3% prepandemic practice; p
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