Crohn’s disease, one of the inflammatory bowel
diseases, is often diagnosed in young adulthood (2-3 decades of life). Since
the majority of patients are in the reproductive period, patient follow-up and
treatment is important during pregnancy, birth and postpartum lactation. In
women diagnosed with Crohn’s disease who are planning a pregnancy, follow-up
should be carried out by a multidisciplinary team, starting from the
pre-pregnancy period, during pregnancy and the postpartum period, with mutual
information and decision sharing. If the disease activity is kept under control
with an appropriate approach in these patients, it is possible for the
pregnancy to end as healthy as in the normal population. Most of the
immunosuppressive agents used in remission induction and maintenance treatment
can also be used safely during pregnancy and lactation. Therefore, making
appropriate arrangements in the treatment and monitoring the patient prevents
the negative consequences that may occur in the mother and fetus due to disease
exacerbations.
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