Pregnancy Outcomes in Females with Eosinophilic Esophagitis: A Nationwide Population-Based Study

Introduction: Eosinophilic esophagitis (EoE) is a chronic, allergic inflammatory disease of the esophagus. It has a peak incidence in the 2nd and 3rd decades of life. Despite this, little is known about pregnancy outcomes in patients with EoE. Methods: Using a validated histopathologic and nationwide population-based cohort for the diagnosis of EoE, we examined maternal and fetal outcomes, with preterm birth as the primary outcome, in females with EoE compared to matched controls. Odds ratios (ORs) were calculated using logistic regression. Results: Between 1992 and 2016, we identified 19 females with EoE who gave birth to 23 children (reference births: n = 115). There was 1 (4.3%) preterm birth in the EoE cohort versus 8 (7.0%) in the reference cohort (OR = 0.60; 95% CI = 0.07–5.14). Secondary fetal outcomes included stillbirth, neonatal death, small for gestational age, low birth weight (LBW), and low Apgar score. Of these, LBW (<2,500 g) in patients with EoE compared to controls correlated to an OR of 12.42 (95% CI = 1.26–122.42); however, this finding was based on very low numbers. The remaining fetal outcomes were not significantly different between females with EoE and controls. Secondary pregnancy and maternal outcomes including induction of labor, instrumental delivery, gestational diabetes, or pre-eclampsia were not significantly different between patients with EoE and controls. Discussion/Conclusion: Overall in this nationwide cohort study, we did not find increased association of preterm birth in patients with EoE.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Pregnancy Outcomes in Females with Eosinophilic Esophagitis: A Nationwide Population-Based Study ; volume:8 ; number:4 ; year:2023 ; pages:143-152 ; extent:10
Inflammatory intestinal diseases ; 8, Heft 4 (2023), 143-152 (gesamt 10)

Urheber
Röjler, Lovisa
Uchida, Amiko M.
Garber, John J.
Stephansson, Olof
Söderling, Jonas
Roelstraete, Bjorn
Ludvigsson, Jonas F.

DOI
10.1159/000534412
URN
urn:nbn:de:101:1-2023122800225562241920
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:34 MESZ

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Beteiligte

  • Röjler, Lovisa
  • Uchida, Amiko M.
  • Garber, John J.
  • Stephansson, Olof
  • Söderling, Jonas
  • Roelstraete, Bjorn
  • Ludvigsson, Jonas F.

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