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Inflammatory bowel disease and pregnancy.
International Journal of Colorectal Disease
|June 20, 2002
Summary
This review examines inflammatory bowel disease (IBD) in women of reproductive age, covering IBD's impact on pregnancy and childbirth's effects on IBD progression and surgical outcomes.
Area of Science:
- Gastroenterology and Obstetrics/Gynecology
- Reproductive Health in Chronic Disease Management
Background:
- Inflammatory bowel disease (IBD) frequently affects women during their peak reproductive years.
- Understanding the interplay between IBD and pregnancy is crucial for patient care.
Purpose of the Study:
- To comprehensively review the effects of IBD on fertility, pregnancy, and the puerperium.
- To examine the impact of pregnancy and childbirth on the natural history of IBD and its surgical management.
Main Methods:
- A systematic literature review was conducted.
- Searches included Medline database from 1950 to the present.
- Keywords: inflammatory bowel disease and pregnancy.
Main Results:
- The review synthesizes findings on IBD's influence on reproductive outcomes.
- It also analyzes how pregnancy affects IBD course and surgical options like pouch function.
- Key studies from 1950 to the present were evaluated.
Conclusions:
- Pregnancy and IBD share overlapping peak age ranges, necessitating careful management.
- Further research into optimizing care for pregnant women with IBD is warranted.
- Surgical considerations for IBD in women of childbearing age require specific attention.