{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T18:27:23Z","timestamp":1793212043253,"version":"4.5.0"},"reference-count":23,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2020,4,27]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Pregnant women with inflammatory bowel disease (IBD) are at increased risk of adverse pregnancy outcomes. Comprehensive guidelines on medical management have been published; yet, there is limited guidance on service set-up and minimum standards of care for pregnant women with IBD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To develop a position statement on service set-up and minimum standards of care in the UK.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A working group consisting of 16 gastroenterologists, obstetricians, obstetric physician, IBD specialist nurses and midwives was assembled. Initial draft statements were produced and a modified Delphi process with two rounds of voting applied. Statements were modified according to voters\u2019 feedback after each round. Statements with \u226580% agreement were accepted.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>All 15 statements met criteria for inclusion. To facilitate optimal care, regular and effective communication between IBD and obstetric teams is required. There should be nominated link clinicians for IBD in obstetric units and for pregnancy in IBD units. Preconception counselling should be available for all women with IBD. All pregnant women should be advised on the safety of IBD medication during pregnancy and breast feeding, the optimal mode of delivery, the management of biologics (where applicable) and safety of childhood vaccinations. Regular audit of pregnancy outcomes and documentation of advice given is recommended.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Position statements have been developed that advise on the importance of joined-up multidisciplinary care, proactive decision-making with clear documentation and communication to the woman and other healthcare practitioners.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/flgastro-2020-101459","type":"journal-article","created":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T20:07:49Z","timestamp":1588882069000},"page":"182-187","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":42,"title":["Standards for the provision of antenatal care for patients with inflammatory bowel disease: guidance endorsed by the British Society of Gastroenterology and the British Maternal and Fetal Medicine Society"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2022-5859","authenticated-orcid":false,"given":"Christian","family":"Selinger","sequence":"first","affiliation":[{"name":"Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Carey","sequence":"additional","affiliation":[{"name":"Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley","family":"Cassere","sequence":"additional","affiliation":[{"name":"Obstetrics, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Nelson-Piercy","sequence":"additional","affiliation":[{"name":"Obstetric Medicine, Guy\u2019s and Saint Thomas\u2019 Hospitals NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aileen","family":"Fraser","sequence":"additional","affiliation":[{"name":"Gastroenterology, United Hospitals Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Hall","sequence":"additional","affiliation":[{"name":"Gastroenterology, Royal Bolton Foundation NHS Trust, Bolton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Harding","sequence":"additional","affiliation":[{"name":"Obstetrics, Guy\u2019s and Saint Thomas\u2019 Hospitals NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jimmy","family":"Limdi","sequence":"additional","affiliation":[{"name":"Section of IBD\u2014Division of Gastroenterology, The Pennine Acute Hospitals NHS Trust, Manchester, UK"},{"name":"Gastroenterology, Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyn","family":"Smith","sequence":"additional","affiliation":[{"name":"Gastroenterology, NHS Greater Glasgow and Clyde North Glasgow University Hospitals Division, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Smith","sequence":"additional","affiliation":[{"name":"Obstetrics, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie Catherine","family":"Gunn","sequence":"additional","affiliation":[{"name":"Gastroenterology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarthi","family":"Mohan","sequence":"additional","affiliation":[{"name":"Obstetrics, United Hospitals Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khasia","family":"Mulgabal","sequence":"additional","affiliation":[{"name":"Obstetrics, Royal Bolton Foundation NHS Trust, Bolton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Kent","sequence":"additional","affiliation":[{"name":"Gastroenterology, King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaartje Bel","family":"Kok","sequence":"additional","affiliation":[{"name":"Gastroenterology, Barts and The London NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Glanville","sequence":"additional","affiliation":[{"name":"Obstetrics, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,5,7]]},"reference":[{"key":"2025090708472229000_12.3.182.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2012.05130.x"},{"key":"2025090708472229000_12.3.182.2","first-page":"e206-13","article-title":"Inflammatory bowel disease and pregnancy: lack of knowledge is associated with negative views","volume":"7","author":"Selinger","year":"2013","journal-title":"J Crohns Colitis"},{"key":"2025090708472229000_12.3.182.3","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20082"},{"key":"2025090708472229000_12.3.182.4","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjw078"},{"key":"2025090708472229000_12.3.182.5","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1111\/apt.15587","article-title":"Systematic review with meta-analysis: risk of adverse pregnancy-related outcomes in inflammatory bowel disease","volume":"51","author":"Tandon","year":"2020","journal-title":"Aliment Pharmacol Ther"},{"key":"2025090708472229000_12.3.182.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2010.07.004"},{"key":"2025090708472229000_12.3.182.7","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jju006"},{"key":"2025090708472229000_12.3.182.8","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2015.12.003"},{"key":"2025090708472229000_12.3.182.9","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1053\/j.gastro.2018.12.022","article-title":"Inflammatory bowel disease in pregnancy clinical care pathway: a report from the American gastroenterological association IBD parenthood project Working group","volume":"156","author":"Mahadevan","year":"2019","journal-title":"Gastroenterology"},{"key":"2025090708472229000_12.3.182.10","doi-asserted-by":"publisher","DOI":"10.1177\/2050640615580893"},{"key":"2025090708472229000_12.3.182.11","unstructured":"Sansford R . British Society of Gastroenterology Advice on the Production of Guidelines. In: Selinger C , ed. British Society of gastroenterology, 2019."},{"key":"2025090708472229000_12.3.182.12","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1016\/j.cgh.2016.03.018","article-title":"Preconception care reduces relapse of inflammatory bowel disease during pregnancy","volume":"14","author":"de Lima","year":"2016","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2025090708472229000_12.3.182.13","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20839"},{"key":"2025090708472229000_12.3.182.14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2010.04318.x"},{"key":"2025090708472229000_12.3.182.15","doi-asserted-by":"publisher","DOI":"10.1177\/2050640615580893"},{"key":"2025090708472229000_12.3.182.16","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.04.002"},{"key":"2025090708472229000_12.3.182.17","doi-asserted-by":"publisher","DOI":"10.1038\/s41395-018-0176-7"},{"key":"2025090708472229000_12.3.182.18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2009.06140.x"},{"key":"2025090708472229000_12.3.182.19","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1097\/MIB.0000000000000802","article-title":"Adverse pregnancy outcomes among women with inflammatory bowel disease: a population-based study from England","volume":"22","author":"Abdul Sultan","year":"2016","journal-title":"Inflamm Bowel Dis"},{"key":"2025090708472229000_12.3.182.20","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000017309","article-title":"The risk of venous thromboembolism in women with inflammatory bowel disease during pregnancy and the postpartum period: a systematic review and meta-analysis","volume":"98","author":"Kim","year":"2019","journal-title":"Medicine"},{"key":"2025090708472229000_12.3.182.21","unstructured":"Nelson-Piercy C , MacCallum P , Mackillop L . Reducing the Risk of Venous Thromboembolism during Pregnancy and the Puerperium London [cited 2015], 2019. Available: https:\/\/www.rcog.org.uk\/globalassets\/documents\/guidelines\/gtg-37a.pdf [Accessed 26 Oct 2019]."},{"key":"2025090708472229000_12.3.182.22","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1038\/ajg.2016.254","article-title":"The effects of active IBD during pregnancy in the era of novel IBD therapies","volume":"111","author":"de Lima-Karagiannis","year":"2016","journal-title":"Am J Gastroenterol"},{"key":"2025090708472229000_12.3.182.23","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2009.10.001"}],"container-title":["Frontline Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/flgastro-2020-101459","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T15:47:28Z","timestamp":1757260048000},"score":1,"resource":{"primary":{"URL":"https:\/\/fg.bmj.com\/lookup\/doi\/10.1136\/flgastro-2020-101459"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,7]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,4,7]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/flgastro-2020-101459"],"URL":"https:\/\/doi.org\/10.1136\/flgastro-2020-101459","relation":{},"ISSN":["2041-4137","2041-4145"],"issn-type":[{"value":"2041-4137","type":"print"},{"value":"2041-4145","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,7]]}}}