You have Crohn’s disease and you are wondering if your desire to become pregnant can be satisfied with this chronic inflammatory bowel disease (IBD). Know that fertility is normal during remission. On the other hand, during the active period of the disease, it can be reduced significantly.
Pregnancy and Crohn’s disease are they compatible?
The same is true of the impact of the disease during pregnancy: during the lull of IBD, the nine months of gestation can go without a hitch.
“If the woman becomes pregnant during a period of remission, there is no increased risk either for the pregnancy or for the evolution of the disease. Crohn’s disease. However, pregnancy can be risky for a woman with Crohn’s disease and for her baby if the pregnancy occurs in time. period of disease crisis », Explains doctor Denis Constantini, gastroenterologist.
Regular multidisciplinary medical monitoring (gastroenterologist, obstetrician, surgeon) is essential. Any pregnancy that occurs in a person with Crohn’s disease is considered “at risk”.
What are the risks for the pregnant woman and her baby?
If the pregnancy begins while the disease is active, the risks are twofold.
- For the fetus: spontaneous miscarriage, intrauterine growth retardation, premature birth, low birth weight baby. There is no increased risk of congenital malformations.
- For the mother: the disease remains active in two thirds of cases and often worsens.
“During pregnancy, certain treatments may be interrupted by the doctor either because of known toxicity or as a precautionary principle”, indicates Dr Constantini. Ask for your doctor’s opinion.
The risk for a child of developing Crohn’s disease during his lifetime is increased but remains low (around 3%).
Childbirth and Crohn’s disease
In case of Crohn’s disease and pregnancy, episiotomy should be avoided. If there are severe anoperineal lesions active at the time of delivery, the cesarean is recommended because they can be aggravated by a vaginal birth.
Find help: the Afa Crohn RCH association, site, telephone listening service, mobile application, etc.