Document Detail

Review article: Reproduction in the patient with inflammatory bowel disease.
MedLine Citation:
PMID:  17661756     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Inflammatory bowel disease (IBD) affects mainly the young population. The effect of IBD and its treatment on fertility and pregnancy is therefore an important clinical consideration. AIM: To review the best management of IBD in the reproductive and pregnant population. METHODS: A MEDLINE and an EMBASE search were performed using mainly the search phrases 'pregnancy AND IBD,''sulphasalazine AND male fertility,''abdominal surgery AND female fertility,''AZA AND placenta' and 'infliximab AND pregnancy.' No language or date restrictions were placed. References of review articles were examined. RESULTS: Overall male and female fertility are not affected by IBD. Sulphasalzine reduces male fertility. No other drugs used in IBD affect significantly fertility in humans. The risk of pregnancy-related complications and the disease behaviour during pregnancy depends mainly on disease activity at time of conception. Proactive treatment for maintenance of disease remission during gestation is recommended. Except for methotrexate, drugs used in IBD appear safe in pregnancy. Breast feeding should be encouraged. CONCLUSION: The management of IBD in the young and pregnant population remains controversial because the literature comes mostly from retrospective studies. Further studies particularly large prospective trials are needed to guide clinicians in decision making.
Z S Heetun; C Byrnes; P Neary; C O'Morain
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Alimentary pharmacology & therapeutics     Volume:  26     ISSN:  0269-2813     ISO Abbreviation:  Aliment. Pharmacol. Ther.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-30     Completed Date:  2007-11-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8707234     Medline TA:  Aliment Pharmacol Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  513-33     Citation Subset:  IM    
Department of Gastroenterology, Adelaide and Meath Hospital, Trinity College, Tallaght, Dublin 24, Ireland.
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MeSH Terms
Azathioprine / administration & dosage,  adverse effects*,  pharmacokinetics
Breast Feeding
Fertility / drug effects*
Immunosuppressive Agents / administration & dosage,  adverse effects*,  pharmacokinetics
Inflammatory Bowel Diseases / drug therapy*
Pregnancy Complications
Pregnancy Outcome
Sulfasalazine / adverse effects*
Reg. No./Substance:
0/Immunosuppressive Agents; 446-86-6/Azathioprine; 599-79-1/Sulfasalazine

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

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