Crohn's Disease: The Complete Guide to Medical Management

Gary R. Lichtenstein, MD, FACP, FACG, AGAF

Chapter 8: Fertility and Pregnancy in Inflammatory Bowel Disease (continued)

Jeffry A. Katz, MD; Vinita Elizabeth Jacob, MD

IBD often presents before or during childbearing years, and young women with IBD are likely to become pregnant at some point. Patients with IBD naturally are concerned about the potential effects of their chronic illness on sexuality, fertility, pregnancy, and the fetus. Most evidence suggests that women with IBD can expect a normal pregnancy and delivery, provided their disease is inactive. Although Crohn’s disease appears to be associated with an increased risk of premature delivery and low birth weight (LBW), children born to women with IBD are typically healthy. Neither ulcerative…