In a new study, the risk of new mental illness postpartum was significantly increased in women with IBD, and specifically in those with Crohn’s disease. Disturbingly, the risk of a substance disorder was also elevated in these women. The findings highlight that disease management during pregnancy is challenging and requires a multidisciplinary approach.
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References
Kersten, I. et al. Chronic diseases in pregnant women: prevalence and birth outcomes based on the SNiP-study. BMC Pregnancy Childbirth 14, 75 (2014).
Voinov, B., Richie, W. D. & Bailey, R. K. Depression and chronic diseases: it is time for a synergistic mental health and primary care approach. Prim. Care Companion CNS Disord. https://doi.org/10.4088/PCC.12r01468 (2013).
Neuendorf, R. et al. Depression and anxiety in patients with inflammatory bowel disease: a systematic review. J. Psychosom. Res. 87, 70–80 (2016).
Vigod, S. N. et al. Inflammatory bowel disease and new-onset psychiatric disorders in pregnancy and post partum: a population-based cohort study. Gut https://doi.org/10.1136/gutjnl-2018-317610 (2019).
Bennebroek Evertsz’, F. et al. Do inflammatory bowel disease patients with anxiety and depressive symptoms receive the care they need? J. Crohns Colitis 6, 68–76 (2012).
Bernstein, C. N. et al. Increased burden of psychiatric disorders in inflammatory bowel disease. Inflamm. Bowel Dis. 25, 360–368 (2019).
Targownik, L. E. et al. The prevalence and predictors of opioid use in inflammatory bowel disease: a population-based analysis. Am. J. Gastroenterol. 109, 1613–1620 (2014).
Bar-Gil Shitrit, A. et al. Antenatal management for women with inflammatory bowel disease: experience from our ‘IBD MOM’ clinic. Dig. Dis. Sci. 63, 1774–1781 (2018).
de Lima, A. et al. Preconception care reduces relapse of inflammatory bowel disease during pregnancy. Clin. Gastroenterol. Hepatol. 14, 1285–1292 (2016).
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C.J.W. received grants (not related to this manuscript) from Pfizer, Tramedico, Ferring and Takeda. A.B.-G.S. declares no competing interests.
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van der Woude, C.J., Shitrit, A.BG. Pregnancy, psychiatry and IBD: multidisciplinary care is crucial. Nat Rev Gastroenterol Hepatol 16, 265–266 (2019). https://doi.org/10.1038/s41575-019-0135-9
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DOI: https://doi.org/10.1038/s41575-019-0135-9
