The development of a multidisciplinary care pathway for patients with inflammatory bowel disease before, during and after pregnancy

Background Recent advancements have significantly enhanced our understanding of the interplay between inflammatory bowel disease (IBD) and reproductive health. While international organizations provide guidelines for best practices, translating them into actionable strategies is crucial. Aim This study aimed to develop a comprehensive care pathway to enhance preconception counselling and support for IBD patients in the perinatal period, ensuring they receive optimal expert care. Methods We used the 7-phase model for the development of the care pathway. Finding The resulting care pathway, structured as a time-task matrix, outlines the required actions at preconception, during pregnancy, and in the postpartum period for women with IBD. Discussion The pathway provides a structured and multidisciplinary approach that addresses the unique needs of IBD patients of childbearing age. It emphasizes holistic and personalized support throughout the preconception, pregnancy, and postpartum period. Conclusion The development of this care pathway represents a significant advancement in the perinatal management of IBD. By offering multidisciplinary and individualized care, optimal maternal and infant outcomes are pursued, while establishing a new global standard for reproductive health and perinatal management. Statement of significance Problem or issue Managing IBD in women of childbearing age, particularly those planning pregnancy or already pregnant, is complex and demands a multidisciplinary approach. What is already known International IBD guidelines outline best practices for managing IBD during pregnancy but implementing these in routine clinical poses significant challenges. What this paper adds The IBD INFANT Wish care pathway transforms existing guidelines into a structured and multidisciplinary framework, providing comprehensive support and expert care for IBD patients across the preconception, pregnancy, and postpartum period.