Document Detail


Management of inflammatory bowel disease during pregnancy and nursing.
MedLine Citation:
PMID:  11726078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The peak age of onset for inflammatory bowel disease (IBD) coincides with the peak age for conception and pregnancy, and gastroenterologists will frequently be called on to treat pregnant IBD patients. The greatest threat to a normal conception and pregnancy is active disease, not active medicine. The majority of IBD medications are safe in pregnancy and nursing and should be used as needed. When in remission, ulcerative colitis and Crohn's disease usually do not affect fertility. Fertility may be impaired, however, by pelvic adhesions and scarring from old operations or disease. Pregnant IBD patients should be followed in a facility where diagnostic tests, such as sigmoidoscopy and ultrasound, and surgery can be performed if necessary.
Authors:
S Friedman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Seminars in gastrointestinal disease     Volume:  12     ISSN:  1049-5118     ISO Abbreviation:  Semin. Gastrointest. Dis.     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-11-29     Completed Date:  2002-03-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9100391     Medline TA:  Semin Gastrointest Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  245-52     Citation Subset:  IM    
Affiliation:
Gastroenterology Division, Harvard Medical School, Brigham and Women's Hopital, Boston, MA 02115, USA. sfriedman1@partners.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Inflammatory Agents / therapeutic use
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
Biopsy / methods
Breast Feeding
Cesarean Section / methods
Female
Humans
Inflammatory Bowel Diseases / diagnosis,  drug therapy*
Mesalamine / therapeutic use*
Prednisone / therapeutic use*
Pregnancy
Pregnancy Complications / diagnosis,  drug therapy*
Sigmoidoscopy / methods
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Anti-Inflammatory Agents, Non-Steroidal; 53-03-2/Prednisone; 89-57-6/Mesalamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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