Crohn’s disease and pregnancy

The obstetrical and gynecological manifestation of Crohn’s disease is particularly challenging for young women and demands special attention, according to an article in the International Journal of Women’s Health. Pregnant women with CD are considered high-risk patients due to associated complications. Some of the prevalent complications are premature birth, low birth weight, and congenital anomalies. To minimize the risk for adverse pregnancy/birth outcomes, it is recommended that remission of CD symptoms be achieved before conception. Treatment of CD in pregnant women is similar to that among the nonpregnant population, and there is no valid reason to terminate it, since most of the drugs are proven to be safe. Women with CD who wish to conceive or are already pregnant need to be properly advised according to the newest guidelines on the subject, given by the European Crohn’s and Colitis Organization. Gynecological manifestations are another special feature of CD. They are important in that they may facilitate early recognition of the underlying disease, which usually stays unrecognized for years before intestinal manifestation; in this way, the underlying manifestations are often mistreated.

Source: Int. J of Women’s Health October 2013 Volume 2013:5 Pages 681 – 688