Clinical Challenges and Complications of IBD

Miguel D Regueiro, MD; Jason Swoger, MD MPH

Chapter 11: Women’S Health - Pregnancy, Fertility, and Cervical Cancer (continued)

Monika Fischer, MD, MSCR; Sunanda Kane, MD, MSPH

The majority of female patients with Crohn’s disease (CD) and ulcerative colitis (UC) are diagnosed either before or during their childbearing years. There are many issues that arise for the female patient with inflammatory bowel disease (IBD) who is pregnant or contemplating pregnancy. Inheritance in the offspring, fertility, the effect of the gestational period on IBD, and conversely, the effect of IBD on the pregnancy, as well as the safety of drugs on the developing fetus and nursing newborn are all important clinical considerations. In addition, certain health maintenance issues…