The Role of Breastfeeding in Postpartum Disease Activity in Women with Inflammatory Bowel Disease

Kane, Sunanda V.; Lemieux, Nicole

doi:10.1111/j.1572-0241.2005.40785.x

Cited by 118 publications

(67 citation statements)

References 14 publications

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“…It was initially believed that an increase of disease flare occurred in both the first trimester and post-partum, but timing of a flare appears to more related to disease activity at conception and at term. Moreover, disease flare is often related to discontinuation of medical therapy (first trimester) or resuming smoking after delivery (post-partum) [2,11,31] . Active disease at conception can be associated with a worse prognosis.…”

Section: Ucmentioning

confidence: 99%

“…There have been some reported associations between nursing and increased disease activity, but this is unclear whether this is related to disease course or cessation of medication. Kane et al [31] found the odds ratio (OR) of disease flare for women who breastfeed was 2.2 (95% CI: 1.2-2.7) compared to those who did not breastfeed. However, once medication discontinuation was factored in, the OR became nonsignificant.…”

Section: Nursingmentioning

confidence: 99%

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Inflammatory Bowel Disease in Pregnancy

Kane¹

Pediatric Inflammatory Bowel Disease

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Crohn's disease and ulcerative colitis affect women in their child-bearing years. Family planning has come to be a common discussion between the gastroenterologist and the inflammatory bowel disease (IBD) patient. Disease control prior to desired conception and throughout pregnancy is the most important thing to keep in mind when caring for the IBD patient. Continued medical management during pregnancy is crucial in optimizing outcomes. Studies indicate that quiescent disease prior to conception infer the best pregnancy outcomes, similar to those in the general population. Active disease prior to and during pregnancy, can lead to complications such as pre-term labor, low birth weight, and small for gestational age infants. Although there are no definitive long term effects of pregnancy on IBD, there are some limited studies that suggest that it may alter the disease course. Understanding the literature and its limitations is important in the modern era of IBD care. Educating the patient and taking a team approach with the obstetrician will help achieve successful outcomes for mother and baby.

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Section: Ucmentioning

confidence: 99%

Section: Nursingmentioning

confidence: 99%

Inflammatory Bowel Disease in Pregnancy

Kane¹

Pediatric Inflammatory Bowel Disease

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“…An earlier study of 122 women with IBD who were followed after delivery found 43% of women experienced a postpartum flare, of which 64% had a history of breastfeeding for at least 1 month prior to flare onset, with the trend persisting among CD patients (OR: 2.1; 95% CI: 1.1-8.5) but not for UC (OR: 0.9; 95% CI: 0.34-2.5) when stratified [58]. However, after adjusting for the high proportion of women who stopped medications prior to delivery and breastfeeding, there was no statistically significant increase in disease exacerbation with breastfeeding.…”

Section: Postpartum Period and Breastfeeding In Ibdmentioning

confidence: 99%

Management of inflammatory bowel disease in pregnancy

Ng¹,

2013

Expert Review of Clinical Immunology

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“…The percentage of women with inflammatory bowel disease who breast-feed varies from 44.2% to 83.3% [28,29]. Breastfeeding is not associated with increased risk of disease exacerbation.…”

Section: Lactationmentioning

confidence: 99%

Inflammatory bowel disease and pregnancy

et al. 2017

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Inflammatory bowel disease (IBD) comprising Crohn's disease (CD), ulcerative colitis (UC), and IBD-unclassified (IBD-U) may appear at any age. As such, IBD commonly affects young patients in their reproductive age. Rate of voluntary childlessness among women with IBD far exceed that of the general population, as patients with IBD fear not only the effect of pregnancy on the course of inflammatory bowel disease, but also the increased risk of the offspring developing the disease, adverse pregnancy outcomes, the effect IBD treatment may have on the health and development of the infant or the risk of relapse during pregnancy and the influence of lactation on child development and disease course. This article aims at improving pre-conception counseling of patients with inflammatory bowel disease.

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The Role of Breastfeeding in Postpartum Disease Activity in Women with Inflammatory Bowel Disease

Abstract: A significant number of women with IBD do not breastfeed their children. Any relationship between breastfeeding and disease activity may be more a consequence of discontinuation of IBD therapies.

Cited by 118 publications

References 14 publications

Inflammatory Bowel Disease in Pregnancy

Inflammatory Bowel Disease in Pregnancy

Management of inflammatory bowel disease in pregnancy

Inflammatory bowel disease and pregnancy

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