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Related Experiment Videos

Inflammatory Bowel Disease During Pregnancy.

Richard S. Tilson1, Sonia Friedman

  • 1Gastroenterology Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. sfriedman1@partners.org

Current Treatment Options in Gastroenterology
|May 15, 2003
PubMed
Summary

For patients with inflammatory bowel disease (IBD), achieving remission before conception is key for successful pregnancies. Continued medical management and close monitoring during pregnancy ensure outcomes comparable to those without IBD.

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Area of Science:

  • Gastroenterology
  • Obstetrics
  • Reproductive Health

Background:

  • Inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, presents unique challenges for patients during pregnancy.
  • Patients frequently express concerns regarding medication safety and potential adverse birth outcomes.

Purpose of the Study:

  • To outline the management principles for pregnant patients with IBD.
  • To emphasize the importance of disease control for successful pregnancy outcomes.

Main Methods:

  • Review of current literature and clinical guidelines for managing IBD in pregnancy.
  • Emphasis on continuous disease surveillance and aggressive treatment strategies.

Main Results:

  • Pregnancy outcomes are strongly correlated with disease activity at conception; remission leads to the best outcomes.

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  • Medications used for remission induction should generally be continued throughout pregnancy.
  • Close collaboration between experienced gastroenterologists and obstetricians is crucial.

    • Conclusions:

    • Pregnant patients with IBD can achieve pregnancy outcomes similar to the general population with appropriate medical care.
    • Maintaining disease remission and active management are paramount for ensuring favorable pregnancy outcomes in IBD patients.