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Pregnancy with autoimmune hepatitis

dc.contributor.authorBraga, A.
dc.contributor.authorVasconcelos, C.
dc.contributor.authorBraga, J.
dc.date.accessioned2017-06-26T15:50:41Z
dc.date.available2017-06-26T15:50:41Z
dc.date.issued2016
dc.description.abstractAIM: The aim of this study was to review our experience with gestations in autoimmune hepatitis patients. BACKGROUND: There are only limited data describing pregnancy in patients with autoimmune hepatitis. PATIENTS AND METHODS: Retrospective analysis of pregnancies with autoimmune hepatitis followed in Centro Hospitalar do Porto, Portugal in the last ten years. RESULTS: We reported nine pregnancies in seven patients with autoimmune hepatitis. Two patients had documented liver cirrhosis prior to the pregnancy. In this study, 66.7% of patients were treated with azathioprine and 88.9% with prednisolone. Clinical improvements were observed in 11.1% of pregnancies and 22.2% exacerbations were diagnosed. There were six live births and two preterm deliveries (preterm delivery rate of 33%). We also report three first trimester miscarriages (early gestation miscarriage rate of 33%). There were no neonatal or maternal deaths. CONCLUSION: The favorable obstetric outcome is a realistic expectation in patients with autoimmune hepatitis. Tight monitoring and control of asymptomatic and unpredictable exacerbations, which are unrelated to the severity of the underlying disease, are essential to the prognosis of the current pregnancypt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGastroenterol Hepatol Bed Bench. 2016;9(3):220-4pt_PT
dc.identifier.issn2008-2258
dc.identifier.issn2008-4234
dc.identifier.urihttp://hdl.handle.net/10400.16/2128
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherShahid Beheshti University, Research Institute for Gastroenterology and Liver Diseasespt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947137/pdf/GHFBB-9-220.pdfpt_PT
dc.subjectazathioprinept_PT
dc.subjecthigh-risk pregnancypt_PT
dc.subjectliver disorder and pregnancypt_PT
dc.titlePregnancy with autoimmune hepatitispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceIranpt_PT
oaire.citation.endPage224pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage220pt_PT
oaire.citation.titleGastroenterology and hepatology from bed to benchpt_PT
oaire.citation.volume9pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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