Evidence map›Paper›PMID 33912333›Full record

ReviewFrontline gastroenterology2021

IBD in pregnancy: recent advances, practical management.

Christian P Selinger, Catherine Nelson-Piercy, Aileen Fraser, Veronica Hall, Jimmy Limdi, Lyn Smith, Marie Smith, Reem Nasur, Melanie Gunn, Andrew King and 5 more

Abstract readReview
In one paragraph

Review in Frontline gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Conception, pregnancy and inflammatory bowel disease-Current concepts for the practising clinician.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Saudi consensus guidance for the management of inflammatory bowel disease during pregnancy.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2023
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Christian P SelingerLeeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID 0000-0003-2022-5859
Catherine Nelson-PiercyObstetric Medicine, Guy's and Saint Thomas' Hospitals NHS Trust, London, UK.
Aileen FraserGastroenterology, United Hospitals Bristol, Bristol, Avon, UK.
Veronica HallGastroenterology, Royal Bolton Foundation NHS Trust, Bolton, UK.
Jimmy LimdiSection of iBD- Division of Gastroenterology, The Pennine Acute Hospitals NHS Trust, Manchester, UK.
Lyn SmithGastroenterology, NHS Greater Glasgow and Clyde North Glasgow University Hospitals Division, Glasgow, UK.
Marie SmithObstetrics, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Reem NasurObstetrics, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Melanie GunnGastroenterology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, Tyne and Wear, UK.
Andrew KingGastroenterology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, Tyne and Wear, UK.ORCID 0000-0002-5002-4751
Aarthi MohanObstetrics, United Hospitals Bristol, Bristol, Avon, UK.
Khasia MulgabalObstetrics, Royal Bolton Foundation NHS Trust, Bolton, UK.
Alexandra KentGastroenterology, King's College Hospital NHS Foundation Trust, London, UK.
Klaartje Bel KokGastroenterology, Barts and The London NHS Trust, London, UK.
Tracey GlanvilleObstetrics, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory bowel disease (IBD) poses complex issues in pregnancy, but with high-quality care excellent pregnancy outcomes are achievable. In this article, we review the current evidence and recommendations for pregnant women with IBD and aim to provide guidance for clinicians involved in their care. Many women with IBD have poor knowledge about pregnancy-related issues and a substantial minority remains voluntarily childless. Active IBD is associated with an increased risk of preterm birth, low for gestation weight and fetal loss. With the exception of methotrexate and tofacitinib the risk of a flare outweighs the risk of IBD medication and maintenance of remission from IBD should be the main of care. Most women with IBD will experience a normal pregnancy and can have a vaginal delivery. Active perianal Crohn's disease is an absolute and ileal pouch surgery a relative indication for a caesarean section. Breast feeding is beneficial to the infant and the risk from most IBD medications is negligible.

Indexed as

crohn's diseaseulcerative colitis

Identifiers

PMID33912333
PMCPMC8040511

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.