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Published on: September 22, 2019
Inflammatory bowel disease in pregnancy.
1Department of Adult and Paediatric Gastroenterology, St Bartholomew's, the Royal London School of Medicine, London, UK. e.m.alstead@mds.qmw.ac.uk
Postgraduate Medical Journal
|January 18, 2002
Summary
Most patients with inflammatory bowel disease (IBD) experience normal fertility. However, active disease, particularly Crohn's disease, can impact pregnancy outcomes, necessitating careful management and early discussion.
Area of Science:
- Gastroenterology and Reproductive Health
- Inflammatory Bowel Disease (IBD) Research
Background:
- Patients with inflammatory bowel disease (IBD) frequently have concerns regarding sexual health, fertility, and pregnancy.
- Active IBD, especially Crohn's disease, is associated with potential fertility reduction and adverse pregnancy outcomes.
Purpose of the Study:
- To summarize key considerations for sexual health, fertility, and pregnancy in patients diagnosed with inflammatory bowel disease (IBD).
- To highlight the importance of managing IBD activity during pregnancy for optimal outcomes.
Main Methods:
- Review of current literature and clinical guidelines concerning IBD, fertility, and pregnancy.
- Analysis of risk factors and management strategies for pregnant patients with IBD.
Main Results:
- Fertility is generally unaffected in IBD patients, but can be reduced with active Crohn's disease.
- Active IBD, particularly Crohn's disease, increases the risk of delivering small-for-gestational-age and premature infants.
- Continuing IBD medication during pregnancy is often recommended to maintain disease control.
Conclusions:
- Most individuals with IBD can achieve normal fertility and have successful pregnancies.
- Early and comprehensive discussions about sexual health, fertility, and pregnancy management are crucial for IBD patients.
- Effective disease control through appropriate treatment is key to ensuring favorable pregnancy outcomes in IBD.
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