Very important and high-yield #AIBD2020 session with @UmaMahadevanIBD on #IBD in #pregnancy! 🤰🔥💩👶
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@IBDConference #GITwitter #GI #OBGYNtwitter #OBGYN
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@IBDConference #GITwitter #GI #OBGYNtwitter #OBGYN
Management of a healthy pregnancy begins... before pregnancy!
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Start planning early!
Want 3 months of steroid-free remission before conception.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Want 3 months of steroid-free remission before conception.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Best contraception in #IBD is progesterone-based LARCs.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#IBD patients should take low-dose #aspirin to prevent #preeclampsia if #OBGYN recommends.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Pregnant #IBD patients (and any pregnant patients) should AVOID #cannabis.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Pregnant #IBD patients should be extra cautious with respect to #COVID19.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Congrats on the #pregnancy! Now what?! Manage the disease!
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Control of disease is key in preventing adverse #pregnancy outcomes!
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Managing flares is similar to in non-pregnant patients. Avoid MTX and tofacitinib.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Steroids should NOT be used as maintenance, as they are associated with poor maternal and fetal outcomes.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Summary of #PIANO! (See prior thread for more detail!)
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Other data sets confirm #PIANO showing safety of anti-TNFs in #pregnancy.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
However removing TNF therapy increases maternal disease risks...
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Delivery? Leave it to the #OBGYN! But some things to consider...
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Breastfeeding is safe while on #IBD medications! No need to avoid, or to pump-n-dump.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
Exposure to biologics does not impact vaccine response.
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
#AIBD2020 @IBDConference @UmaMahadevanIBD #IBD
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