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[Crohn's disease and pregnancy. Two case reports]
We report two cases of pregnancy in patients with Crohn's disease. For the first woman, non-exclusive ambulatory parenteral nutrition was given during the entire duration of gestation in a patient with short bowel syndrome, maintaining good nutritional status and normal delivery at term of an eutrophic infant; Crohn's disease relapsed one month post partum. In the second patient, Crohn's disease was less severe and remission occurred without treatment. Prophylactic cesarean was required due to multiple perineal scars resulting from surgical treatment of Crohn-related fistulae. The main problems with pregnancy in patients with Crohn's disease are discussed.
We report two cases of pregnancy in patients with Crohn's disease. For the first woman, non-exclusive ambulatory parenteral nutrition was given during the entire duration of gestation in a patient with short bowel syndrome, maintaining good nutritional status and normal delivery at term of an eutrophic infant; Crohn's disease relapsed one month post partum. In the second patient, Crohn's disease was less severe and remission occurred without treatment. Prophylactic cesarean was required due to multiple perineal scars resulting from surgical treatment of Crohn-related fistulae. The main problems with pregnancy in patients with Crohn's disease are discussed.