Pocket Guide to IBD, Second Edition

Marla Dubinsky, MD; Sonia Friedman, MD

Chapter 17: The Pregnant Patient (continued)

Uma Mahadevan, MD

The highest age-adjusted incidence rates of IBD overlap the peak reproductive years. New medications are allowing patients to be healthier and disease free for longer intervals, which may prompt a desire for conception. A pregnant IBD patient should be carefully monitored by both her gastroenterologist and her obstetrician for signs of active disease and fetal complications. • Fertility Women with ulcerative colitis (UC) and Crohn’s disease (CD) have similar rates of fertility compared to the general population. Surgical…