title: Reproduction in the patient with inflammatory bowel disease.
abstract: Inflammatory bowel disease (IBD) often occurs in women of childbearing age and requires complex treatment decision. IBD can have profound influences on fertility, the course of a pregnancy, child birth and lactation. Many women with IBD remain voluntarily childless and patient knowledge of pregnancy related issues is generally poor, which can lead to negative views regarding IBD treatments. To achieve good clinical outcomes for mother and infant a balance has to be struck between the risks of any IBD treatment and the risks of untreated IBD. The advent of the biological age has brought another level of complexity. While more data demonstrating the safe use in pregnancy have recently emerged, effects on infants continue for up to 6 months with important implications on vaccination plans. This review discusses recent advances in the field of IBD and reproduction.
authors.affiliation: Department of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK - Christian.selinger@web.de.
authors.forename: C P
authors.initials: CP
authors.lastname: Selinger
mesh_terms: D001942:Breast Feeding; D036861:Delivery, Obstetric; D005260:Female; D005298:Fertility; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000188:drug therapy / Q000235:genetics / Q000503:physiopathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy; D011256:Pregnancy Outcome; D012098:Reproduction