A Guide for Expecting Parents
Most pregnancies with IBD go well.
We'll work together to keep you and your baby healthy.
Inflammatory Bowel Disease (IBD) causes inflammation in your digestive tract.
Can affect any part of the digestive tract, from mouth to anus.
Affects the colon (large intestine) and rectum.
Symptoms may include diarrhea, abdominal pain, fatigue, and weight changes.
About 1 in 200 pregnant people have IBD.
You are not alone. We care for many families navigating pregnancy with IBD.
When IBD is well-controlled, most people have healthy pregnancies and healthy babies.
The key is keeping your IBD quiet (in remission) during pregnancy.
Higher risk of preterm birth, low birth weight, or pregnancy loss.
Pregnancy risks similar to those without IBD.
Our goal: Keep you in remission throughout pregnancy.
Most IBD medications are safe during pregnancy.
Uncontrolled IBD is riskier than most medications.
Stopping your medication can lead to a flare.
A flare during pregnancy is harder to treat and poses more risk to you and your baby than continuing most medications.
Our approach: Evidence-based medication choices that protect both of you.
Teamwork: We work closely with your GI doctor throughout pregnancy.
Good nutrition supports your health and your baby's growth.
We can refer you to a dietitian who specializes in IBD and pregnancy.
Flares can happen. Early treatment is important.
Contact us if you notice:
We have safe treatment options to get you back to remission.
Usually safe if no active disease in the rectum or perianal area.
May be recommended for active perianal Crohn's or prior surgery.
We'll discuss the best delivery plan based on your disease and obstetric history.
Yes! Most IBD medications are compatible with breastfeeding.
We'll review your specific medications to confirm safety.
Breastfeeding provides important benefits for you and your baby.
Managing IBD in pregnancy is a partnership. You bring your experience. We bring our expertise. Together, we'll create the best plan for your family.
We're here to support you every step of the way.
Write down questions between visits. Bring them to appointments.
Call us anytime you have concerns.
Your care team: MFM, gastroenterology, nutrition, nursing, and more.
We're here to help you have the healthiest pregnancy possible.