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December 8, 2025Korean Journal of MedicineOpen Access

Optimal Choice of Biologics and Small Molecules for Treating Women of Childbearing Age with Inflammatory Bowel Disease

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ESEun Mi Song

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Overview

Observational analysis highlights safety of biologics like anti-TNF for IBD in pregnancy, suggesting caution for small molecules.

Key Points

  • Maternal and fetal safety is paramount, as biologics like anti-TNF agents are deemed safe during pregnancy and lactation.
  • Current evidence indicates that small molecules may pose risks, including preterm birth and congenital malformations, necessitating their avoidance.
  • Treatment decisions for women of childbearing age with IBD require individualization based on evidence and patient preferences.
  • Existing guidelines recommend discontinuing small molecules before conception and avoiding them during pregnancy and breastfeeding.

Cite This Study

Eun Mi Song (2025) studied this question.

synapsesocial.com/papers/69362f764fa91c937236e37ehttps://doi.org/10.3904/kjm.2025.100.6.269
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