title: My treatment approach to management of the pregnant patient with inflammatory bowel disease.
abstract: Inflammatory bowel disease (IBD) is frequently diagnosed in women of childbearing age. Of paramount concern are questions about the effect of the disease on a woman's ability to conceive and carry the pregnancy safely to term, as well as the effect of the disease and its therapies on the health of the fetus. For health care providers, there is also the issue of medication dose adjustments and management of flares during pregnancy. Growing experience with IBD in pregnancy suggests that most women will have good outcomes; however, concerns and uncertainty remain for both the patient and the physician. This article outlines our approach to the treatment of these patients with respect to preconception counseling and management during pregnancy and the postpartum period.
authors.affiliation: Department of Medicine, Division of Gastroenterology, University of California, San Francisco.
authors.forename: Susie W
authors.initials: SW
authors.lastname: Ng
authors.affiliation: Department of Medicine, Division of Gastroenterology, University of California, San Francisco. Electronic address: uma.mahadevan@ucsf.edu.
authors.forename: Uma
authors.initials: U
authors.lastname: Mahadevan
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D037001:Directive Counseling; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D015212:Inflammatory Bowel Diseases / Q000188:drug therapy*; D011181:Postnatal Care; D016742:Preconception Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy*; D011295:Prenatal Care
chemical_list: D000893:Anti-Inflammatory Agents; D007166:Immunosuppressive Agents