Importance of family planning in patients with immune-mediated inflammatory diseases: A multidisciplinary approach

Reumatol Clin (Engl Ed). 2022 Apr;18(4):200-206. doi: 10.1016/j.reumae.2020.11.007. Epub 2022 Apr 16.

Abstract

Background and objectives: Family planning in women with immune-mediated inflammatory diseases is a challenge for healthcare teams, highlighting the need for standardized available evidence to provide patients with objective and agreed information. This study reflects the work performed by a multidisciplinary team in reviewing available scientific evidence, and the strategy agreed for family planning, pregnancy, postpartum, and breastfeeding in patients with immune-mediated inflammatory diseases.

Methods: A literature search was conducted, information was structured across the different stages (preconception, pregnancy, postpartum and breastfeeding), and an on-site meeting was convened, in which patients and healthcare providers participated.

Results: Specific materials, which are included in this work, were developed to guide clinical decisions to be agreed upon by patients and healthcare providers.

Conclusion: These materials meet the need for validated and updated information on the approach and use of indicated drugs for professionals responsible for the management of immune-mediated inflammatory diseases.

Keywords: Breastfeeding; Embarazo; Enfermedades inflamatorias inmunomediadas; Family planning; Immune-mediated inflammatory diseases; Lactancia materna; Planificación familiar; Pregnancy; Tratamiento; Treatment.

MeSH terms

  • Breast Feeding*
  • Family Planning Services*
  • Female
  • Humans
  • Pregnancy