Ileal pouch-anal anastomosis: pregnancy, delivery and pouch function.
OBJECTIVE
To evaluate the pregnancies, deliveries and functional results of patients who have undergone and ileal pouch-anal anastomosis.


METHODS
A retrospective survey by questionnaire.


METHODS
The study was conducted at a university hospital.


METHODS
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 pouch-related 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.
Scott
H J
HJ
Inflammatory Bowel Disease Centre, University of Toronto, Ontario, Canada.
McLeod
R S
RS
Blair
J
J
O'Connor
B
B
Cohen
Z
Z
D000293:Adolescent; D000328:Adult; D000368:Aged; D036861:Delivery, Obstetric; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D016737:Proctocolectomy, Restorative; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors