Women with IBD can have healthy pregnancies with planning, monitoring, and medical care.
- Plan pregnancy during IBD remission for at least 3–6 months
- Continue prescribed medications unless advised otherwise
- Balanced nutrition and folic acid are vital for healthy pregnancy
Inflammatory Bowel Disease in Pregnancy Clinical Care Pathway: A Report From the American Gastroenterological Association IBD Parenthood Project Working Group
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Impact of IBD on Fertility and Conception
Women who suffer from IBD including those who remain in remission phase normally maintain the same pregnancy opportunities as women without IBD. The fertility potential of individuals decreases when inflammatory bowel disease progresses actively or after undergoing J-pouch colectomy operations.- Disease Activity and Conception: Medical authorities advise pregnant women should wait throughout a 3-6 month remission period before trying to conceive to reduce pregnancy complications.
- Medication Considerations: People who take methotrexate need to stop taking this medicine 3–6 months before their attempt at conception because the drug is known to cause birth defects.
Managing IBD Medications During Pregnancy
Disease remission throughout pregnancy needs to be maintained as an essential priority. Medicinal treatments for IBD maintain safety during pregnancy to minimize healthcare complications (2✔ ✔Trusted SourceIBD and Pregnancy: What You Need to Know
Go to source).
- Medication Safety: Other safe alternatives to steroids include aminosalicylates, biologics and thiopurines. Check with your doctor before altering your course of treatment.
- The IBD Medication Guide: Reviewing medicine safety with your doctor or with someone trained in this field will bring you both understanding and self-assurance (3✔ ✔Trusted Source
Pregnancy and Inflammatory Bowel Disease
Go to source).
Diagnostic Procedures During Pregnancy
Medical examinations that are independent of risk to the fetus may be required to track IBD during pregnancy.- Safe Procedures: Medical personnel should perform colonoscopies and sigmoidoscopies preferably during the second trimester. These tests join ultrasounds and MRIs (gadolinium-free during the first trimester) which doctors consider generally safe to use.
- Avoid When Possible: CT scans together with X-rays must only be administered in life-threatening situations outside of normal circumstances.
IBD-Related Surgeries and Pregnancy
Operative procedures disrupt both future fertility abilities and affect maternal pregnancy results. Mercifully many surgical procedures remain under control through strategic preparatory approaches.- Fertility Impact: The combination of colectomy surgery with J-pouch implantation decreases fertility rates yet ileoanal anastomosis maintains mild fertility effects.
- Surgical Timing: Medical intervention resistance at severe pregnancy stages leads surgeons to conduct abdominal surgeries.
- Delivery Considerations: Women who have Crohn's disease with fistulas or abscesses require a Caesarean section for safer childbirth.
Nutrition During Pregnancy
IBD patients need a diet consisting of both extreme nutritional balance to maintain fetal and maternal health.- Essential Nutrients: Everyone taking sulfasalazine needs to pay special attention to folic acid since this medication decreases folic acid absorption throughout the body.
- Dietary Support: Meeting with a dietitian enables you to develop a customized nutrition framework. The path to a healthy pregnancy depends on sustaining proper vitamin levels together with proper hydration and enough calorie consumption.
Pregnancy with symptomatic inflammatory bowel disease calls for meticulous strategic planning and constant medical surveillance and physician coordination. Following medical advice alongside staying informed enables you to accept motherhood with optimism and confidence.
References:
- Inflammatory Bowel Disease in Pregnancy Clinical Care Pathway: A Report From the American Gastroenterological Association IBD Parenthood Project Working Group - (https://www.gastrojournal.org/article/S0016-5085(18)35437-4/fulltext)
- IBD and Pregnancy: What You Need to Know - (https://www.crohnscolitisfoundation.org/blog/ibd-and-pregnancy-what-you-need-to-know)
- Pregnancy and Inflammatory Bowel Disease - (https://pmc.ncbi.nlm.nih.gov/articles/PMC4836574/)
Source-Medindia