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- W1983770110 abstract "OBJECTIVES: The safety of thiopurines and anti-tumor necrosis factor-α (TNF-α) drugs during pregnancy remains controversial, as the experience with these drugs in this situation is limited. Our aim is to assess the safety of thiopurines and anti-TNF-α drugs for the treatment of inflammatory bowel disease (IBD) during pregnancy. METHODS: Retrospective, multicenter study in IBD patients. Pregnancies were classified according to the therapeutic regimens during pregnancy or during the 3 months before the conception: non-exposed group, pregnancies exposed to thiopurines alone (group A), and pregnancies exposed to anti-TNF-α drugs (group B). An unfavorableGlobal Pregnancy Outcome(GPO) was considered if pregnancy developed with obstetric complications in the mother and in the newborn. RESULTS: A total of 187 pregnancies in the group A, 66 pregnancies in the group B, and 318 pregnancies in thenon-exposedgroup were included. The rate of unfavorableGPOwas different among the three groups (31.8% innon-exposedgroup, 21.9% in group A, and 34.8% in group B), being lower in pregnancies under thiopurines than amongnon-exposed(P=0.01). The rate of pregnancy complications was similar among the three groups (27.7% innon-exposed, 20.9% in group A, and 30.3% in group B). The rate of neonatal complications was different among the three groups (23.3% innon-exposedgroup, 13.9% in group A, and 21.2% in group B), being lower in pregnancies under thiopurines than amongnon-exposed(P=0.01). In the multivariate analysis, the treatment with thiopurines (odds ratio=0.6; 95% confidence interval=0.4–0.9,P=0.02) was the only predictor of favorableGPO, whereas maternal age >35 years at conception was the only predictor of unfavorableGPO. The treatment with anti-TNF-α drugs was not associated with an unfavorableGPO. CONCLUSION: The treatment with thiopurines and anti-TNF-α drugs does not seem to increase the risk of complications during pregnancy and does seem to be safe for the newborn." @default.
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- W1983770110 date "2013-03-01" @default.
- W1983770110 modified "2023-10-18" @default.
- W1983770110 title "Safety of Thiopurines and Anti-TNF-α Drugs During Pregnancy in Patients With Inflammatory Bowel Disease" @default.
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- W1983770110 doi "https://doi.org/10.1038/ajg.2012.430" @default.
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