Thursday, April 23, 2009

Crohn's and Pregnant -- Research Summary

Copyright © 2009 Ivanhoe Broadcast News, Inc.
BACKGROUND: Crohn's disease is a chronic, long-term illness in which the intestine, or bowel, becomes inflamed. It is part of a group of diseases known as inflammatory bowel disease, or IBD. Crohn's disease can affect any area of the GI tract, but it most commonly affects the lower part of the small intestine, called the ileum. The swelling extends deep into the lining of the affected organ and can cause pain, fever and diarrhea. The disease can surface at any age, but it is most common between the ages of 15 and 30. People with Crohn's disease experience periods of severe symptoms, followed by weeks or years of remission. Treatment may include drugs, nutrition supplements, surgery or a combination of these options. The goal is to control inflammation and relieve the symptoms. Treatment can help control the disease by lowering the number of times a person experiences a recurrence, but there is no cure.

CROHN'S AND PREGNANCY: In the past, women with Crohn's were counseled against pregnancy. However, current medical management strategies have made childbearing safer for both mother and baby. Some medications are best avoided during pregnancy, but others are considered safe because of their long history of safe use by patients. Research studies have shown that some drugs commonly used for both maintenance therapy and acute flare-ups of Crohn's are safe for pregnant women to use. They include sulfasalazine (Azulfidine), forms of mesalamine (Asacol, Pentasa, Rowasa), and corticosteroids (Prednisone). Other drugs like azathioprine (Imuran, Azasan), adalimumab (Humira), certolizumab (Cimzia) and infliximab (Remicade) appear to be safe to take during pregnancy.

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