Crohns and Colitis UKpregnancytalknov13 克罗恩病和溃疡性结肠炎的英国ppt课件.pptVIP

美国自发性脑出血处理指南课件慢性鼻炎吃什么药好慢性鼻窦炎吃什中医中药治疗高血脂饮食保健资料子宫肌瘤合并胆囊炎围手术期护理中医药对冠心病稳定性心绞痛长期治疗价值 慢性单纯性苔藓痤疮白癜风教材课程 美国自发性脑出血处理指南课件慢性鼻炎吃什么药好慢性鼻窦炎吃什中医中药治疗高血脂饮食保健资料子宫肌瘤合并胆囊炎围手术期护理中医药对冠心病稳定性心绞痛长期治疗价值 慢性单纯性苔藓痤疮白癜风教材课程 IBD Pregnancy Christian Selinger Consultant Gastroenterologist Talk outline Talk outline Can I have children? Can I pass on IBD to my child? Fertility issues How to plan for pregnancy When to conceive Medication before and during Who to speak to Breast feeding Who is affected by IBD? Many men and women of childbearing age Crohn’s disease Ulcerative coltis Can I have children? YES Why talk about it then? Not everyone knows this Patients Doctors Friends relatives It should involve careful planning Can I pass IBD on to my child? Developing IBD is complex Family history / Inherited part / Genes Environmental effects Smoking “Dirt exposure” Antibiotics in childhood Many unknown as yet Who gave birth after being diagnosed with IBD? Can I pass IBD on to my child? Chance of passing on IBD If one parent affected: 4-10% If both parents affected: 30% Very good chance child will not get IBD Whether you child will get IBD depends on many other factors Fertility In men Normal Sulphasalazine can temporarily disturb it In women Generally good Better chance of falling pregnant When well Good disease control Fertility Vast majority should experience little problems (other than the general public) Problem areas Crohn’s disease with complex inflammation in pelvis / “deep” pelvic surgery Pouch surgery IVF works in these cases Anyone experienced fertility problems? Fertility Unable to have children “involuntary infertility” Overall not more common than general public Decided not to have children “voluntary infertility” Much more common in IBD 18% versus 6% in general public Decided not to have children Why? Might not be aware that they can Poor knowledge Anxiety about pregnancy, inheritance Bad advice “Google”… Friends Some doctors not well informed We need to get the message out