Ileal pouch-anal anastomosis: pregnancy, delivery and pouch function

  • H. J. Scott
  • R. S. McLeod
  • J. Blair
  • B. O'Connor
  • Z. Cohen
Original Articles

Abstract

Objective: To evaluate the pregnancies, deliveries and functional results of patients who have undergone and ileal pouch-anal anastomosis.Design: A retrospective survey by questionnaire.Setting: The study was conducted at a university hospital.Subjects: Twelve women who had undergone an ileal pouch-anal anastomosis at the Inflammatory Bowel Disease Centre, Mount Sinai Hospital and who had subsequently become pregnant, were identified from the hospital records. A follow up questionnaire was completed by all subjects.Results: Twelve patients had 16 deliveries. There were 10 vaginal deliveries and 6 caesarian sections. There were no pouchrelated complication during the 16 pregnancies and there were two postpartum complications.Conclusions: Pregnancy is safe in women with an ileal pouch-anal anastomosis. Functional results are altered minimally. Vaginal delivery is safe and obstetric reasons should determine whether a caesarian section is performed.

Résumé

But: Evaluer les grossesses, accouchements et résultats fonctionnels de patients qui ont subi la confection d'une poche iléo-anale.Moyen: Une étude rétrospective avec questionnaire.Lieu: L'étude a été menée dans un hôpital universitaire.Sujet: Douze femmes qui avalient subi la confection d'une poche iléo-anale dans le centre des maladies inflammatoires du Mount Sinai Hospital et qui par la suite étaient devenues enceites ont été identifiées à partir des documents de l'hôpital. Un questionnaire de suivi a été complété par tous les sujets.Résultats: Douze patientes ont mené à terme 16 grossesses qui se sont terminées par 10 accouchements et 6 césariennes. Aucune complication n'est à déplorer en relation avec la poche au cours des 16 grossesses et deux complications sont survenues dans les suites des accouchements.Conclusion: Une grossesse peut être menée à terme de manière sûre chez des femmes porteuses d'une poche iléo-anale. Des résultats fonctionnels sont altérés au minimum. L'accouchement est sûr et seules des raisons obstétricales doivent être anvisagées pour réaliser une césarienne.

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • H. J. Scott
    • 1
    • 2
    • 3
  • R. S. McLeod
    • 1
    • 2
    • 3
  • J. Blair
    • 1
    • 2
    • 3
  • B. O'Connor
    • 1
    • 2
    • 3
  • Z. Cohen
    • 1
    • 2
    • 3
  1. 1.The Inflammatory Bowel Disease CentreUniversity of TorontoTorontoCanada
  2. 2.The Division of General SurgeryMount Sinai HospitalTorontoCanada
  3. 3.the University of TorontoTorontoCanada

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