Cure8

Why This Matters

People with IBD and other IMIDs often need ongoing medication during pregnancy.

This study provides population-based data suggesting most conditions did not have higher spontaneous loss and that common IBD medications studied were not linked to increased spontaneous loss; however, a borderline rise in congenital malformations for IBD warrants careful interpretation and further study.

Who Should Pay Attention

Pregnant patients with IBD or other immune-mediated inflammatory diseases, obstetricians and gastroenterologists, IBD clinicians, and researchers studying pregnancy outcomes and medication safety.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

The study used primary-care linked data to identify pregnancies and prescriptions, and evaluated commonly used disease-modifying drugs in pregnancy. Azathioprine, mesalazine and sulfasalazine were not associated with increased spontaneous loss in this analysis.

The IBD finding for MCMs was borderline and sensitivity analyses and confounding are noted by the authors. The abstract provides a high-level summary; it does not give detailed absolute risks, subgroup numbers, or specific timing/doses for medications. Decisions about treatment in pregnancy should remain individualized and discussed with clinicians.

Keep In Mind

Structured-content depth is an abstract from a peer-reviewed journal; this brief is grounded in that abstract and does not reflect a review of full article details. The authors note potential residual confounding and the abstract lacks detailed medication dosing, timing, and absolute risk estimates. Individual treatment decisions require clinical consultation.

Source Details

Review the original publication for the complete reporting, methods, and context.

Read Original Source
Research paper Evidence type derived from source or registry metadata.
PublicationRheumatology (Oxford, England)
AuthorsRachel Charlton, William Tillett, Neil McHugh +1 more
InstitutionDepartment of Life Sciences, University of Bath, Bath, United Kingdom.
Study typeJournal article
Indexed viaPubMed
Source typeResearch paper
PublishedAug 7, 2026, 12:00 AM
Content availableJournal abstract

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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