Quality of healthcare delivery in inflammatory bowel disease pregnancy: a scoping review

Inflammatory bowel disease (IBD) is associated with an increased risk of adverse pregnancy outcomes. The number of individuals affected by IBD during their reproductive years is expected to increase in parallel with rising disease prevalence. Increasing disease burden and costs of care threaten access to quality health care delivery. Quality of healthcare describes how healthcare delivery services achieve desired evidence-based patient-reported and clinical outcomes. Given that IBD has implications for patients during pregnancy, a dedicated exploration of how quality of care may be optimized for this patient group is warranted. In this scoping review, we apply a framework assessing structural, process, and outcome indicators to examine the current quality of healthcare in IBD pregnancy, identify and discuss barriers to achieving quality care, and systematically appraise the existing models used to provide care for IBD patients during their pregnancies.