{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T23:25:10Z","timestamp":1776295510042,"version":"3.50.1"},"reference-count":22,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2020,6,14]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Suboptimal control of inflammatory bowel disease (IBD) can result in increased rates of adverse pregnancy-related outcomes. We aimed to describe the current landscape of provision of antenatal care for women with IBD in the UK.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This cross-sectional survey collected data on service setup; principles of care pre-conception, during pregnancy and post partum; and on perceived roles and responsibilities of relevant clinicians.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Data were provided for 97 IBD units. Prepregnancy counselling was offered mostly on request only (54%) and in an ad hoc manner. In 86% of units, IBD antenatal care was provided by the patient\u2019s usual gastroenterologist, rather than a gastroenterologist with expertise in pregnancy (14%). Combined clinics with obstetricians and gastroenterologists were offered in 14% of units (24% academic vs 7% district hospitals; p=0.043). Communication with obstetrics was \u2018as and when required\u2019 in 51% and 30% of IBD units reviewed pregnant women with IBD \u2018only when required\u2019. The majority of respondents thought gastroenterologists should be involved in decisions regarding routine vaccinations (70%), breast feeding (80%), folic acid dosage (61%) and venous thromboembolism (VTE) prophylaxis (53%). Sixty-five per cent of respondents thought that gastroenterologists should be involved in decisions around mode of delivery and 30% recommended caesarean sections for previous but healed perianal disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This nationwide survey found considerable variation in IBD antenatal services. We identified deficiencies in service setup, care provided by IBD units and clinician knowledge. A basic framework to inform service setup, and better education on the available clinical guidance, is required to ensure consistent high-quality multidisciplinary care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/flgastro-2020-101546","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T17:25:53Z","timestamp":1598462753000},"page":"487-492","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Provision of care for pregnant women with IBD in the UK: the current landscape"],"prefix":"10.1136","volume":"12","author":[{"given":"Sarah","family":"Wolloff","sequence":"first","affiliation":[{"name":"Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Moore","sequence":"additional","affiliation":[{"name":"Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracey","family":"Glanville","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Leeds Teaching Hospitals NHS Trust, Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimmy","family":"Limdi","sequence":"additional","affiliation":[{"name":"Section of IBD\u2014Division of Gastroenterology, The Pennine Acute Hospitals NHS Trust, Manchester, UK"},{"name":"Gastroenteterology, Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaartje B","family":"Kok","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Barts and The London NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aileen","family":"Fraser","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, United Hospitals Bristol, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Kent","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, King's College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khasia","family":"Mulgabal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Royal Bolton Foundation NHS Trust, Bolton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Nelson-Piercy","sequence":"additional","affiliation":[{"name":"Department of Obstetric Medicine, Guy's and Saint Thomas' Hospitals NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2022-5859","authenticated-orcid":false,"given":"Christian","family":"Selinger","sequence":"additional","affiliation":[{"name":"Leeds Gastroenterology Institute, Leeds Teaching Hospitals NHS Trust, Leeds, 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association IBD parenthood project Working group","volume":"156","author":"Mahadevan","year":"2019","journal-title":"Gastroenterology"},{"key":"2025090708143987000_12.6.487.17","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2015-309321"},{"key":"2025090708143987000_12.6.487.18","doi-asserted-by":"crossref","unstructured":"Selinger C , Carey N , Cassere S , et al . 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. 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