An article The Influence of Disease Activity on Pregnancy Outcomes in Women With Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis WOS:000654655500004 published article about CROHNS-DISEASE; BIRTH OUTCOMES; ULCERATIVE-COLITIS; PRETERM BIRTH; ALPHA; RISK; EXPRESSION; MANAGEMENT; FERTILITY; RECEPTORS in [Kim, Min-A] Yonsei Univ, Gangnam Severance Hosp, Inst Womens Life Med Sci, Dept Obstet & Gynecol,Coll Med, Seoul, South Korea; [Kim, Young-Han] Yonsei Univ, Severance Hosp, Inst Womens Life Med Sci, Dept Obstet & Gynecol,Coll Med, Seoul, South Korea; [Chun, Jaeyoung] Yonsei Univ, Gangnam Severance Hosp, Dept Internal Med, Coll Med, Seoul, South Korea; [Lee, Hye Sun] Yonsei Univ, Biostat Collaborat Unit, Coll Med, Seoul, South Korea; [Park, Soo Jung; Cheon, Jae Hee; Il Kim, Tae; Kim, Won Ho; Park, Jae Jun] Yonsei Univ, Severance Hosp, Dept Internal Med, Coll Med, Seoul, South Korea in 2021, Cited 65. Safety of Benzyl ether. The Name is Benzyl ether. Through research, I have a further understanding and discovery of 103-50-4
Background and Aims: Robust evidence regarding the impact of disease activity on pregnancy outcomes in women with inflammatory bowel disease [IBD] is crucial for both clinicians and patients in preparing a birth plan. We sought to perform a systematic review and meta-analysis to assess the pooled influences of disease activity on pregnancy outcomes in women with IBD. Methods: We searched MEDLINE, EMBASE and the COCHRANE library to identify articles comparing pregnancy outcomes between active and inactive IBD at the time of conception or during pregnancy. A meta-analysis was performed using a random-effects model to pool estimates and report odds ratios [ORs]. Results: A total of 28 studies were identified as eligible for the meta-analysis. In women with active IBD, the pooled ORs for low birth weight [LBW], preterm birth, small for gestational age [SGA], spontaneous abortion and stillbirths were respectively 3.81 (95% confidence interval [CI] 1.81-8.02), 2.42 [95% CI 1.74-3.35], 1.48 [95% CI 1.19-1.85], 1.87 [95% CI 1.17-3.0] and 2.27 [95% CI 1.03-5.04] compared to women with inactive IBD. In the subgroup analysis based on disease type, women with active ulcerative colitis had an increased risk of LBW, preterm birth and spontaneous abortion. Women with active Crohn’s disease had a higher risk of preterm birth, SGA and spontaneous abortion. Conclusions: Active IBD during the periconception period and pregnancy is associated with an increased risk of adverse pregnancy outcomes. Our data suggest that pregnancy should be planned when the disease is quiescent, and continuous disease control is important even during pregnancy.
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