کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2685744 1142886 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Is dietary treatment of Crohn's disease safe in pregnancy? A retrospective study
ترجمه فارسی عنوان
آیا درمان رژیم غذایی بیماری کرون در هنگام بارداری ایمن است؟ یک مطالعه گذشته نگر
کلمات کلیدی
بارداری؛ رژیم غذایی عنصری؛ بیماری کرون؛ تغذیه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی

SummaryBackgroundIt is possible to control Crohn's disease by dietary therapy involving the detection and exclusion from the patient's diet of foods which provoke symptoms. The effects of such treatment on pregnancy have not been studied in detail.AimTo determine the outcomes and complications in pregnancies occurring in women with Crohn's disease receiving dietary therapy.MethodsA review by retrospective questionnaire and the contemporaneous medical and dietetic notes over a period of five years of women attending the department of gastroenterology at Addenbrookes hospital, Cambridge for treatment of Crohn's disease by diet.ResultsForty seven pregnancies occurred in thirty four women. At conception, 51% of women were in remission, 40% had mildly active disease and 9% active disease. During pregnancy 78% remained stable or improved. Delivery was by caesarean section in 25%. The incidence of miscarriage (21%), stillbirths (2%), congenital abnormality (0%), prematurity (10%) and low birth weight (5%) were not different from those expected in the general population. Food intolerances improved during pregnancy in 66%. Nevertheless 55% relapsed within 3 months post-partum.ConclusionsThe incidence of complications of pregnancy was no greater than those observed in the healthy British population. Dietary treatment in pregnancy appears to be safe but relapse after delivery is common.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: e-SPEN Journal - Volume 9, Issue 5, October 2014, Pages e173–e177
نویسندگان
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