FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2553049803> ?p ?o ?g. }

• W2553049803 abstract "Introduction Care for pregnant women with IBD requires complex decision making weighing the risks and benefits of medication. Patients are often exposed to conflicting information from different health care professionals. This novel IBD antenatal clinic provides multidisciplinary care with an IBD clinician, an IBD nurse and an obstetrician all present during the consultation. Methods Prospective data collection for all patients attending the clinic from March 2014 to September 2015 included IBD diagnosis, treatment, adherence (MARS self report scale), disease & pregnancy related patient knowledge (CCPKnow), course of pregnancy, mode of delivery and breast feeding. Patient satisfaction (1 not to 5 very satisfied) was ascertained by formal feedback weeks after delivery. Results Of 48 women (mean age 32 years; range 21–43) 27 had Crohn’s disease, 17 ulcerative colitis and 4 IBD-unclassified. Medication exposure during pregnancy included 5 ASA in 19, Thiopurines in 22 and anti-TNF in 11 cases (3 ongoing, 1 continued to birth, 7 stopped at mean week 25). Disease severity during pregnancy was remission in 62%, mild in 18%, moderate in 16% and severe in 4%. Poor medication adherence occurred in 5 of 27 patients providing adherence data. IBD investigations during pregnancy included 2 bowel ultrasound scans, 1 MRI and 2 sigmoidoscopies. Mean CCPKnow scores were 8.9 at 1 st consultation and 10.1 after birth. Two patients attended for pre-pregnancy counselling and 15 are currently pregnant. There were 27 (17 female) live births, 2 miscarriages, 1 intra-uterine death and 1 medically indicated termination for cardiac abnormalities. Delivery occurred on average at week 39 (range 29–41) with only 2 births before 35 weeks gestation. 19 (70%) patients had a vaginal delivery (5 assisted), 3 underwent elective and 5 emergency caesarean section. Average birth weight was 3099 gram (4 weighed less than 2500 g) and only 3 babies were on the 5 th percentile on personalised growth charts. 18 (66.6%) of mothers breastfed the infant. The average patient satisfaction score was 4.6. Conclusion This novel clinic model offers unique care for pregnant women with IBD. We have demonstrated very good IBD, obstetric and neonatal outcomes. Medication adherence was at least equivalent to non-pregnant patients. In contrast to previous studies showing high caesarean section and poor breast feeding rates in women with IBD our results were close to the national average for healthy women. As patient satisfaction was also high a wider adoption of the model should be considered. Disclosure of Interest C. Selinger Grant/research support from: Abbvie, Warner Chilcott, Consultant for: Abbvie, Warner Chilcott, MSD, Takeda, Speaker bureau with: Abbvie, Warner Chilcott, Dr Falk, Takeda, N. Carey: None Declared, G. Ulivi: None Declared, L. Walker: None Declared, F. Shaikh: None Declared, T. Glanville: None Declared" @default.
• W2553049803 created "2016-11-30" @default.
• W2553049803 creator A5000918634 @default.
• W2553049803 creator A5028019300 @default.
• W2553049803 creator A5040957433 @default.
• W2553049803 creator A5054860781 @default.
• W2553049803 creator A5055518236 @default.
• W2553049803 creator A5076306365 @default.
• W2553049803 date "2016-06-01" @default.
• W2553049803 modified "2023-09-27" @default.
• W2553049803 title "PTH-056 Novel Model of Care: The Impact of A Combined IBD & Antenatal Clinic" @default.
• W2553049803 doi "https://doi.org/10.1136/gutjnl-2016-312388.462" @default.
• W2553049803 hasPublicationYear "2016" @default.
• W2553049803 type Work @default.
• W2553049803 sameAs 2553049803 @default.
• W2553049803 citedByCount "0" @default.
• W2553049803 crossrefType "journal-article" @default.
• W2553049803 hasAuthorship W2553049803A5000918634 @default.
• W2553049803 hasAuthorship W2553049803A5028019300 @default.
• W2553049803 hasAuthorship W2553049803A5040957433 @default.
• W2553049803 hasAuthorship W2553049803A5054860781 @default.
• W2553049803 hasAuthorship W2553049803A5055518236 @default.
• W2553049803 hasAuthorship W2553049803A5076306365 @default.
• W2553049803 hasConcept C10885799 @default.
• W2553049803 hasConcept C126322002 @default.
• W2553049803 hasConcept C131872663 @default.
• W2553049803 hasConcept C187212893 @default.
• W2553049803 hasConcept C188816634 @default.
• W2553049803 hasConcept C2775887326 @default.
• W2553049803 hasConcept C2778260677 @default.
• W2553049803 hasConcept C2779134260 @default.
• W2553049803 hasConcept C2779234561 @default.
• W2553049803 hasConcept C2780479503 @default.
• W2553049803 hasConcept C2908647359 @default.
• W2553049803 hasConcept C54355233 @default.
• W2553049803 hasConcept C71924100 @default.
• W2553049803 hasConcept C86803240 @default.
• W2553049803 hasConcept C99454951 @default.
• W2553049803 hasConceptScore W2553049803C10885799 @default.
• W2553049803 hasConceptScore W2553049803C126322002 @default.
• W2553049803 hasConceptScore W2553049803C131872663 @default.
• W2553049803 hasConceptScore W2553049803C187212893 @default.
• W2553049803 hasConceptScore W2553049803C188816634 @default.
• W2553049803 hasConceptScore W2553049803C2775887326 @default.
• W2553049803 hasConceptScore W2553049803C2778260677 @default.
• W2553049803 hasConceptScore W2553049803C2779134260 @default.
• W2553049803 hasConceptScore W2553049803C2779234561 @default.
• W2553049803 hasConceptScore W2553049803C2780479503 @default.
• W2553049803 hasConceptScore W2553049803C2908647359 @default.
• W2553049803 hasConceptScore W2553049803C54355233 @default.
• W2553049803 hasConceptScore W2553049803C71924100 @default.
• W2553049803 hasConceptScore W2553049803C86803240 @default.
• W2553049803 hasConceptScore W2553049803C99454951 @default.
• W2553049803 hasLocation W25530498031 @default.
• W2553049803 hasOpenAccess W2553049803 @default.
• W2553049803 hasPrimaryLocation W25530498031 @default.
• W2553049803 hasRelatedWork W1696892014 @default.
• W2553049803 hasRelatedWork W2071487473 @default.
• W2553049803 hasRelatedWork W2097788697 @default.
• W2553049803 hasRelatedWork W2109455868 @default.
• W2553049803 hasRelatedWork W2269746272 @default.
• W2553049803 hasRelatedWork W2298113070 @default.
• W2553049803 hasRelatedWork W2317620051 @default.
• W2553049803 hasRelatedWork W2414010282 @default.
• W2553049803 hasRelatedWork W2559121494 @default.
• W2553049803 hasRelatedWork W2754560929 @default.
• W2553049803 hasRelatedWork W2904074648 @default.
• W2553049803 hasRelatedWork W2909891980 @default.
• W2553049803 hasRelatedWork W2911129167 @default.
• W2553049803 hasRelatedWork W3023940327 @default.
• W2553049803 hasRelatedWork W3035368074 @default.
• W2553049803 hasRelatedWork W3113211309 @default.
• W2553049803 hasRelatedWork W3139532195 @default.
• W2553049803 hasRelatedWork W3195147849 @default.
• W2553049803 hasRelatedWork W2183758309 @default.
• W2553049803 hasRelatedWork W2199539903 @default.
• W2553049803 isParatext "false" @default.
• W2553049803 isRetracted "false" @default.
• W2553049803 magId "2553049803" @default.
• W2553049803 workType "article" @default.