Enfermedad inflamatoria intestinal y embarazo: experiencia de 16 años / Pregnancy and inflammatory bowel disease: Experience in 17 patients
Rev. méd. Chile
;
139(11): 1421-1427, nov. 2011. ilus
Artigo
em Espanhol
| LILACS
| ID: lil-627571
ABSTRACT
Background:
Inflammatory bowel disease (IBD) has a peak incidence between 15 and 25 years of age, thereby affecting women of reproductive age. Fertility rates with inactive IBD are similar to the general population, and drugs currently used, with the exception of methotrexate and thalidomide, have a good safety and efficacy profile during pregnancy. Starting a pregnancy with inactive IBD significantly reduces the potential maternal and fetal complications.Aim:
To assess the evolution of pregnancy and the underlying disease in women with IBD. Patients andMethods:
Retrospective and prospective study of female patients with IBD controlled in our hospital who became pregnant from January 1994 to February, 2011.Results:
We followed 17patients with a total of 19 pregnancies. In two patients the onset of IBD occurred during pregnancy and from the remaining, 11 patients became pregnant during remission of IBD. Most of the patients continued the same treatment during pregnancy and the few flares that occurred were treated satisfactorily. Major complications occurred in three patients, all associated with IBD activity. Fifteen patients had full-term deliveries and the majority of the newborns had normal weight and Apgar score. None had malformations.Conclusions:
Pregnancies among patients with an inactive IBD, have a good evolution. A multidisciplinary approach and patient education are invaluable to achieve these good results.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Complicações na Gravidez
/
Resultado da Gravidez
/
Doenças Inflamatórias Intestinais
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
/
Gravidez
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Hospital Naval A. Nef/CL
/
Universidad de Valparaíso/CL
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