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Ileal pouch-anal anastomosis: pregnancy, delivery and pouch function
H J Scott1, R S McLeod, J Blair
1Inflammatory Bowel Disease Centre, University of Toronto, Ontario, Canada.
Objective:
To evaluate the pregnancies, deliveries and functional results of patients who have undergone and ileal pouch-anal anastomosis.
Design:
A retrospective survey by questionnaire.
Setting:
The study was conducted at a university hospital.
Subjects:
Twelve women who had undergone an ileal pouch-anal anastomosis at the Inflammatory Bowel Disease Centre, Mount Sinai Hospital and who had subsequently become pregnant, were identified from the hospital records. A follow up questionnaire was completed by all subjects.
Results:
Twelve patients had 16 deliveries. There were 10 vaginal deliveries and 6 caesarian sections. There were no pouch-related complication during the 16 pregnancies and there were two postpartum complications.
Conclusions:
Pregnancy is safe in women with an ileal pouch-anal anastomosis. Functional results are altered minimally. Vaginal delivery is safe and obstetric reasons should determine whether a caesarian section is performed.