20 doctors weighed in:

I am a 45 year old pregnant woman with colitis. Whatshould I do?

20 doctors weighed in
Dr. Pam Yoder
Obstetrics & Gynecology - Maternal Fetal Medicine
11 doctors agree

In brief: Planning ahead

First, if you are pregnant now, congratulations.
You already beat the odds. Second, if your obgyn or fertility doctor did not send you to your GI or to an mfm doctor before getting pregnant, we typically would want referrals asap . That way all of the doctors can discuss your history, medications, and treatment during pregnancy, delivery, postpartum period. Collaboration before/during/after works!

In brief: Planning ahead

First, if you are pregnant now, congratulations.
You already beat the odds. Second, if your obgyn or fertility doctor did not send you to your GI or to an mfm doctor before getting pregnant, we typically would want referrals asap . That way all of the doctors can discuss your history, medications, and treatment during pregnancy, delivery, postpartum period. Collaboration before/during/after works!
Dr. Pam Yoder
Dr. Pam Yoder
Thank
1 comment
Dr. Pam Yoder
I will also share this with some of our GI doctors.
Dr. Arthur Heller
Internal Medicine - Gastroenterology
6 doctors agree

In brief: High risk pregnancy

Need OB specializing in high risk pregnancy- "elderly", and colitis.
If in remission at start of pregnancy. Good chance it will remain so during the pregnancy. If active, then may be a stormier course. Meds such as steroids (budesonide), mesalamine, 6 Mercaptopurine ok in preg (good data; may incr preemie). Biologics newer, less info. Risks to preg worse from uncontrolled colitis.

In brief: High risk pregnancy

Need OB specializing in high risk pregnancy- "elderly", and colitis.
If in remission at start of pregnancy. Good chance it will remain so during the pregnancy. If active, then may be a stormier course. Meds such as steroids (budesonide), mesalamine, 6 Mercaptopurine ok in preg (good data; may incr preemie). Biologics newer, less info. Risks to preg worse from uncontrolled colitis.
Dr. Arthur Heller
Dr. Arthur Heller
Thank
David Escobar
Family Medicine
3 doctors agree

In brief: What's your question

Please let us know what your question is regarding your pregnancy or your colitis.
Send another question to healthtap, but include some details so we can better understand what you are asking.

In brief: What's your question

Please let us know what your question is regarding your pregnancy or your colitis.
Send another question to healthtap, but include some details so we can better understand what you are asking.
David Escobar
David Escobar
Answer assisted by David Escobar, Medical Student
Thank
Dr. Jason Hemming
Internal Medicine - Gastroenterology

In brief: Health of mother

Is the most important factor and all should be done to ensure that.
That means using whatever medications (most of the ibd rx are safe with pregnancy) necessary to maintain disease control. The good news is patients that are in remission tend to stay in remission during the pregnancy.

In brief: Health of mother

Is the most important factor and all should be done to ensure that.
That means using whatever medications (most of the ibd rx are safe with pregnancy) necessary to maintain disease control. The good news is patients that are in remission tend to stay in remission during the pregnancy.
Dr. Jason Hemming
Dr. Jason Hemming
Thank
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