Increased risk of preterm birth for women with inflammatory bowel disease

Review article: a decision‐making algorithm for the management of pregnancy in the inflammatory bowel disease patient

“…8,9 Women with CD may have slightly decreased fertility, especially when having active disease. 10,11 This may partly be explained by the formation of adhesions resulting in tubal infertility. 12 Fertility may normalise during remission, 8 especially in patients with CD, 13 and so it is recommended that females wait until their disease is controlled before considering pregnancy.…”

“…Outcomes from studies on pregnancy outcome in patients with IBD have been variable. Some studies found that pregnancies in women with IBD were associated with poor outcome such as increased risk of preterm birth, low birth weight, 11,23,24 small for gestational age (SGA) infants and increased caesarean section delivery. 24 However, some studies found there was no increased risk of low birth weight or IUGR in children of women with UC, 25 and that IBD is not associated with adverse perinatal outcomes.…”

Ulcerative colitis and pregnancy

“…In their study performed in 1980, Willoughby et al (1) concluded that fertility rates corrected for age and desire for pregnancy were normal (92%). In 1990, Baird et al (9) reported that IBD was associated with decreased fertility with regard to the total number of pregnancies. However, correction for influencing factors (decreased fertility whether desired or not, secondary fertility, duration allowed for the occurrence of pregnancy) demonstrated that decreased fertility was indeed associated with the patients' own choice, rather than IBD.…”

“…However, previous studies had demonstrated a relationship between disease activity and premature delivery and LBW (3,9). The authors of that meta-analysis concluded that prospective studies are required to investigate the relationship between disease activity and pregnancy complications.…”

Living with Inflammatory Bowel Disease (IBD) : a test of the meaning making model of coping.

“…The diagnosis ofIBD was not independently verified. In another study ofIBD patients, accuracy of self-report compared with diagnosis using x-ray, pathology, or endoscopy was 98% (Baird, Narendranathan, & Sandler, 1990). Participants were recruited through online support groups and message boards for individuals diagnosed with IBD.…”