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IBD during pregnancy in the journal Gastroenterology. She stresses that it’s key that both the person with IBD and their doctors be on the same page over the course of the pregnancy. What you should know “The thing I tell my patients and what my care pathway emphasizes is the preconception planning phase,” Mahadevan stressed. “If a woman is considering becoming pregnant, it’s important to go over all the risks and benefits, to go over healthcare maintenance, the nutrition status, disease activity. You want to make sure that everything is optimized ahead of pregnancy.” Dr. Benjamin Clik, a gastroenterologist at Cleveland Clinic who’s not affiliated with this project, said that it’s important that IBD is under control and well managed before and during pregnancy. He echoed Mahadevan in emphasizing that it needs to be “a coordinated team effort” between both the obstetric and gastroenterology doctors so that everyone is on the same page. When it comes to IBD medications, most are safe to take during pregnancy. However, Clik said two exceptions are methorexate, which should be stopped at least three months before pregnancy and tofacitinib, which he said is one that doesn’t have enough information supporting it yet.