Summary
A retrospective study of women in the child-bearing age with inflammatory disease of the bowel seems to suggest that these women become pregnant as often as other women in the general population. In this small study it was 100 per cent. The incidence of subjective difficulty with conception is likewise small. Patients with Crohn's disease appear to feel better in pregnancy with regard to their intestinal problems, while more than 60 per cent of the patients with ulcerative colitis appear to do poorly. The live-birth rates for both conditions in our series were approximately 80 per cent. An unusual complication in two of our patients with Crohn's disease was a postpartum, postepisiotomy rectovaginal fistula. This may indicate a possible danger of episiotomy in patients who have Crohn's disease.
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References
Banks, BM, Korelitz BI, Zetzel L: The course of nonspecific ulcerative colitis: Review of twenty years' experience and late results. Gastroenterology 32: 983, 1957
Becker IM: Pregnancy and toxic dilatation of the colon. Am J Dig Dis 17: 79, 1972
Crohn BB: Regional Ileitis. New York, Grune and Stratton, 1949, p 86
Crohn BB, Yarnis H, Crohn EB, et al: Ulcerative colitis and pregnancy. Gastroenterology 30: 391, 1956
Crohn BB, Yarnis H, Korelitz BI: Regional ileitis complicating pregnancy. Gastroenterology 31: 615, 1956
deDombal FT, Watts JM, Watkinson G, et al: Ulcerative colitis and pregnancy. Lancet 2: 599, 1965
Fielding JF, Cooke WT: Pregnancy and Crohn's disease. Br Med J 2: 76, 1970
Goligher JC, de Dombal FT, Watts JM, et al: Ulcerative Colitis. Baltimore, Williams and Wilkins, 1968, p 194
Hunter PG: Ulcerative colitis and pregnancy. J Maine Med Assoc 62: 294, 1971
Jacobs WH, Janowitz HD: The digestive tract.In Rovinsky JJ, Guttmacher AF (eds.): Medical, Surgical, and Gynecologic Complications of Pregnancy. Ed. 2. Baltimore, Williams and Wilkins, 1965, chapter 10, p 177
Jones RL, Soltau DH: Pregnancy in association with Crohn's disease. J Obstet Gynaecol Br Commonw 65: 811, 1958
MacDougall I: Ulcerative colitis and pregnancy. Lancet 2: 641, 1956
Maddix BL: Ulcerative colitis and pregnancy. Minn Med 45: 1097, 1962
McEwan HP: Ulcerative colitis in pregnancy. Proc R Soc Med 65: 279, 1972
Turnbull RB, Hawk WA: Crohn's disease and pregnancy (correspondence). Br Med J 2: 364, 1970
Webb MJ, Sedlack RE: Ulcerative colitis in pregnancy. Med Clin North Am 58: 823 (July) 1974
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Ganchrow, M.I., Benjamin, H. Inflammatory colorectal disease and pregnancy: Report of a case. Dis Colon Rectum 18, 706–709 (1975). https://doi.org/10.1007/BF02604283
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DOI: https://doi.org/10.1007/BF02604283