Document Detail


Pregnancy and delivery in patients with a continent ileostomy.
MedLine Citation:
PMID:  3381188     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients undergoing surgical treatment for inflammatory disease of the intestine are often in their reproductive years. Therefore, it is highly relevant to study the influence of surgical treatment on later pregnancy and delivery. Reported herein are 28 patients with continent ileostomies who have carried 37 pregnancies to term. An increased urge to empty the ileostomy reservoir, especially in the late period of pregnancy, was noted by the majority of patients. About one-third of the patients reported some difficulties with intubation of the reservoir in late pregnancy but in only a few patients did these disturbances result in a revisional operation after delivery. Pregnancy was normal in most instances and only four premature childbirths occurred. All pregnancies resulted in live birth. Vaginal delivery was successful in the majority of the patients, cesarean section being chosen for obstetric reasons in nine instances. From this study, it is concluded that, in patients with a continent ileostomy, normal pregnancy and delivery can be expected. However, in a few instances, the ileostomy function may be disturbed, necessitating later revisional operations.
Authors:
B Ojerskog; N G Kock; B M Philipson; M Philipson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  167     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1988-07-21     Completed Date:  1988-07-21     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  61-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery II, Sahlgrenska sjukhuset, University of Göteborg, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Birth Weight
Cesarean Section
Delivery, Obstetric* / methods
Evaluation Studies as Topic
Female
Gestational Age
Humans
Ileostomy*
Infant, Newborn
Infant, Premature*
Pregnancy* / urine
Reoperation
Risk Factors
Time Factors
Urinary Incontinence / surgery

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


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