{
  "abstract": "Background & aims Pregnancy can be a complex and risk filled event for women with inflammatory bowel disease (IBD). High-quality studies in this population are lacking, with limited data on medications approved to treat IBD during pregnancy. For patients, limited knowledge surrounding pregnancy impacts pregnancy rates, medication adherence, and outcomes. Limited provider knowledge leads to highly varied practices in care affected by local dogma, available resources, individual interpretation of the literature, and fear of harming the fetus. The variations in guidelines by different societies and countries reflect this and lead to confusion for physicians and patients alike. The Global Consensus Consortium is a group of 39 IBD and content experts and 7 patient advocates from 6 continents who convened to review and assess current data and come to an agreement on best practices based on these data.Methods The GRADE process was used when sufficient published data were available and the RAND process in those instances where expert opinion was needed to guide consistent practice. Recommendations were informed by the guiding principle that maternal health best supports infant health.Results The topics were divided into ten categories with 34 GRADE recommendations and 35 Consensus statements.Conclusions Overall, the goal of the group was to provide data-driven and practical guidance to improve the care of women with IBD around the globe based on the best available research.",
  "authors": [
    {
      "affiliations": [
        "Gastroenterology, University of California, San Francisco, San Francisco, California, USA"
      ],
      "name": "Uma Mahadevan"
    },
    {
      "affiliations": [
        "Inflammatory Bowel Disease Unit, Division of Gastroenterology and Hepatology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"
      ],
      "name": "Cynthia H Seow"
    },
    {
      "affiliations": [
        "Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA"
      ],
      "name": "Edward L Barnes"
    },
    {
      "affiliations": [
        "Gastroenterology Department, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain"
      ],
      "name": "María Chaparro"
    },
    {
      "affiliations": [
        "Department of Gastroenterology, St Vincent’s Hospital Melbourne, Australia, Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia"
      ],
      "name": "Emma Flanagan"
    },
    {
      "affiliations": [
        "Division of Gastroenterology and Hepatology, Tufts Medical Center, Boston, Massachusetts, USA"
      ],
      "name": "Sonia Friedman"
    },
    {
      "affiliations": [
        "Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark, Institute of Clinical Medicine, Health, Aarhus University, Aarhus, Denmark"
      ],
      "name": "Mette Julsgaard"
    },
    {
      "affiliations": [
        "Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA"
      ],
      "name": "Sunanda Kane"
    },
    {
      "affiliations": [
        "Microbiota I-Center (MagIC), Hong Kong SAR, China, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China, Li Ka Shing Institute of Health Sciences, State Key Laboratory of Digestive Disease Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR, China"
      ],
      "name": "Siew Ng"
    },
    {
      "affiliations": [
        "Division of Gastroenterology, Hospital da Luz Lisbon, Division of Gastroenterology, Hospital Beatriz Ângelo, Portugal Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal"
      ],
      "name": "Joana Torres"
    },
    {
      "affiliations": [
        "Department of Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa"
      ],
      "name": "Gillian Watermeyer"
    },
    {
      "affiliations": [
        "Inflammatory Bowel Disease Clinic, Department of Gastroenterology, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Mexico City, Mexico"
      ],
      "name": "Jesus Yamamoto-Furusho"
    },
    {
      "affiliations": [
        "Charleston Maternal Fetal Medicine, East Cooper Medical Center, Mount Pleasant, South Carolina, USA"
      ],
      "name": "Christopher Robinson"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, University of California, San Francisco, California, USA"
      ],
      "name": "Susan Fisher"
    },
    {
      "affiliations": [
        "Skaggs School of Pharmacy and Pharmaceutical Sciences, San Diego, California, USA"
      ],
      "name": "Phil Anderson"
    },
    {
      "affiliations": [
        "Department of Medicine, University of Otago, Christchurch, New Zealand"
      ],
      "name": "Richard Gearry"
    },
    {
      "affiliations": [
        "Clinical and Research Center for IBD, ISCARE a s, Prague, Czechia"
      ],
      "name": "Dana Duricova"
    },
    {
      "affiliations": [
        "Division of Pediatric Gastroenterology, Susan and Leonard Feinstein IBD Clinical Center, Icahn School of Medicine, Mount Sinai, New York, USA"
      ],
      "name": "Marla Dubinsky"
    },
    {
      "affiliations": [
        "Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA"
      ],
      "name": "Millie Long"
    },
    {
      "affiliations": [],
      "name": "The Global Consensus Group for Pregnancy in IBD"
    }
  ],
  "title": "Global consensus statement on the management of pregnancy in inflammatory bowel disease",
  "uid": "28127504-134d-5baa-ae7b-1cf31d4e57c3"
}