Crohn’s disease and pregnancy are two issues that can be overwhelming enough on their own. When persons suffering from this condition want to conceive, it might seem like a dangerous proposition. However there are certain steps you can take to ensure you undergo a safe childbirth and have a healthy child.
Crohn’s disease is a common complaint of many women today. Find out how you can overcome problems and celebrate a comfortable pregnancy and birth.
After 14 years of living with Crohn’s disease, Kristina Whiton, a social worker from Boston, Massachusetts, recently underwent her fifth abdominal surgery. This time, scar tissue from previous operations had caused a cyst—the size of two footballs—to develop.
Whiton first started experiencing symptoms of Crohn’s, an inflammatory bowel disease that can affect the digestive tract from the mouth to the anus, at age 21. Common symptoms included pain, diarrhea, and rectal bleeding. By the time Whiton was 31, surgeons had removed her colon and rectum and left her with a permanent ileostomy (external bag for drainage).
Does Crohn’s disease affect conception?
If you have active Crohn’s disease you may have a more difficult time getting pregnant than you would when it’s in remission. Ideally, you should be in good health and in remission when you conceive.
If a man who wants to become a father is taking sulfasalazine (Azulfidine) for Crohn’s disease, he should ask his doctor to change his medication. Sulfasalazine causes a lower sperm count.
The drug methotrexate is deadly to fetuses and newborn babies. If a man is taking methotrexate for Crohn’s disease, he should stop taking it for three months before attempting conception. Women with Crohn’s disease should avoid methotrexate before getting pregnant and while pregnant. If you are taking methotrexate after giving birth, you should not breastfeed.
If both parents have IBD, the child has about a one in three chance of having IBD. If only one parent has Crohn’s disease, the chance of the baby getting the condition is about 9%.
Can women with IBD have children?
Yes, women with inflammatory bowel disease (IBD) can have children. In the past, women with IBD were counseled against pregnancy. But current medical management strategies have made childbearing safer for both mother and baby. Having a chronic illness while pregnant requires careful supervision by qualified physicians, but a healthy pregnancy and baby are both possible.
Azathioprine Side effects
Any immunosuppressive drug comes with side effects. This drug may cause birth defects if either a male or the female is using it at the time of conception. Azathioprine is absolutely contraindicated (should never be used) in patients who are pregnant, breast-feeding, or who have serious active infections. Patients taking this medication while pregnant have an increased risk of premature birth, low birth weight and miscarriage. It is advised you speak to your doctor if you get pregnant while taking this medication.