The embodied experience of pregnancy with an ileostomy

Whiteley, Ian; Gullick, Janice

doi:10.1111/jocn.14601

Cited by 13 publications

(9 citation statements)

References 42 publications

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“…If a cesarean section is required, simply covering the ostomy with gauze is adequate to protect the operative field. [102][103][104] Post-Delivery Care for Baby…”

Section: Ostomy Managementmentioning

confidence: 99%

Inflammatory Bowel Disease in Pregnancy Clinical Care Pathway: A Report From the American Gastroenterological Association IBD Parenthood Project Working Group

Robinson²,

et al. 2019

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“…If a cesarean section is required, simply covering the ostomy with gauze is adequate to protect the operative field. [102][103][104] Post-Delivery Care for Baby…”

Section: Ostomy Managementmentioning

confidence: 99%

Inflammatory Bowel Disease in Pregnancy Clinical Care Pathway: A Report From the American Gastroenterological Association IBD Parenthood Project Working Group

Robinson²,

et al. 2019

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“…The experience of being pregnant with an ileostomy has been studied in a small case series. The involvement of an ostomy nurse may reduce uncertainty and increase the confidence of pregnant mothers with an ileostomy [ 19 ]. Rarely, the ileostomy may be obstructed by the gravid uterus [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Fifty Years With a Brooke Ileostomy: An Autobiographical Case Report

Thygeson¹

2021

Cureus

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Permanent Brooke ileostomy continues to be a treatment option for selected patients with inflammatory bowel disease and cancer. This case report describes the author’s 50-year experience living with Crohn’s disease and a Brooke ileostomy, including the psychosocial and dietary adaptations required and the management of common complications such as peri-stomal irritant dermatitis, food blockage, and acute infectious diarrhea. Cross-sectional studies indicate that the quality of life with an ileostomy is usually good, but adaptation to an ileostomy is a life-long process.

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“…Рекомендується уникати надмірного збільшення ваги під час вагітності та звертатися за порадою до колоректального хірурга. У разі КР достатньо простого покриття стоми марлею для захисту операційного поля [66].…”

Section: післяпологовий періодunclassified

Optimization of antenatal monitoring approaches of women with chronic inflammatory bowel diseases

Булавенко

Konkov

Kuzmіnova

et al. 2021

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Chronic inflammatory bowel diseases (CIBD) affect patients at their peak of reproductive age. Clinical presentation of CIBD in pregnancy is associated with an increased risk of adverse effects in mother and fetus, including prematurity, low birth weight, increased indications for caesarean section. Thus optimizing of the CIBD diagnosis and treatment before and during pregnancy is essential to improve maternal and fetal outcomes.Research aim: to analyze the effectiveness of the CIBD clinical management at the stage of preconception and during pregnancy.Materials and methods. It was searched the Cochrane Library, WHO platform, clinical guidelines, and research reference database Medline. All potential studies have evaluated the clinical practice guidelines in women with CIBD for conception, pregnancy and breastfeeding. Recommendations related to the necessary laboratory and instrumental examination methods, therapeutic strategy, the safety of drugs for mother and fetus, the features of multidisciplinary antenatal observation, the timing and method of delivery of pregnant women with CIBD. Results. Treatment in the planning phase and pregnancy should be multidisciplinary, involving a gastroenterologist, obstetrician-gynecologist, primary care physician, pediatrician and a colorectal surgeon if necessary, as well as stakeholders from the association of patients with CIBD. Communication between these professionals is critical to avoid ambivalent or even conflicting counseling, which is an additional source of anxiety for patients, and also potentially dangerous for suboptimal prevention of clinical CIBD manifestation. Obtained results of the analysis will prevent laboratory and therapeutic polypharmacy and significantly improve the pregnancy outcome.Conclusions. Most women with CIBD had a physiological pregnancy and healthy children. However, some studies have linked CIBD to an increased risk of preterm birth and low birth weight infants. The development of national clinical guidelines will optimize and improve the quality of perinatal care to women with CIBD in the Ukraine, and will lead to a decrease in obstetric, fetal and neonatal complications.

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The embodied experience of pregnancy with an ileostomy

Abstract: Women and clinicians should aim for disease remission, peer support, ongoing monitoring and involvement of a Stomal Therapy Nurse.

Cited by 13 publications

References 42 publications

Inflammatory Bowel Disease in Pregnancy Clinical Care Pathway: A Report From the American Gastroenterological Association IBD Parenthood Project Working Group

Inflammatory Bowel Disease in Pregnancy Clinical Care Pathway: A Report From the American Gastroenterological Association IBD Parenthood Project Working Group

Fifty Years With a Brooke Ileostomy: An Autobiographical Case Report

Optimization of antenatal monitoring approaches of women with chronic inflammatory bowel diseases

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