2005
DOI: 10.1007/s00595-004-2926-y
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Anal Function During Pregnancy and Postpartum After Ileal Pouch Anal Anastomosis for Ulcerative Colitis

Abstract: Although transient anal dysfunction occurred in the puerperal period, there were no changes in anal function during pregnancy. Therefore, there are no factors directly prohibiting pregnancy and vaginal delivery in women who undergo IPAA for UC.

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Cited by 29 publications
(17 citation statements)
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“…Up to 30% of women in the general population undergoing vaginal delivery develop occult anal sphincter damage and pelvic floor denervation, particularly after frequent or prolonged and complicated childbirths [15]. Although some reports claimed that no modification of pouch function occurs after vaginal delivery and that IPAA patients should therefore not be advised against vaginal delivery, the experience on this subject is at variance with such a view [16][17][18]. For these reasons, there is not an absolute indication to caesarean section and it seems that the method of delivery should be decided only by obstetrical considerations.…”
Section: Sexual Function and Reproductive Healthmentioning
confidence: 97%
“…Up to 30% of women in the general population undergoing vaginal delivery develop occult anal sphincter damage and pelvic floor denervation, particularly after frequent or prolonged and complicated childbirths [15]. Although some reports claimed that no modification of pouch function occurs after vaginal delivery and that IPAA patients should therefore not be advised against vaginal delivery, the experience on this subject is at variance with such a view [16][17][18]. For these reasons, there is not an absolute indication to caesarean section and it seems that the method of delivery should be decided only by obstetrical considerations.…”
Section: Sexual Function and Reproductive Healthmentioning
confidence: 97%
“…However, there are studies showing vaginal delivery is safe for those with a pouch in disease remission, with possible altered sphincter dysfunction during late pregnancy and postpartum usually returning to normal within 3 months of delivery without increased risk of fissure or anal sphincter injury [44,45]. In general, mode of delivery should be made on an individual basis with risks and benefits clearly discussed with the patient and providers involved.…”
Section: Mode Of Delivery In Ibdmentioning
confidence: 99%
“…The preferred surgical intervention for ulcerative colitis is the ileal pouch anal anastomosis, which offers intestinal continuity and fecal continence. For those women who do have an ileal pouch anal anastomosis, pregnancy is safe and there are no contraindications to vaginal delivery [68]. Women with ulcerative colitis who are planning to conceive should therefore, if possible, defer a colectomy until they have established their family.…”
Section: Fertilitymentioning
confidence: 99%