Mit Morbus Crohn und Colitis ulcerosa sicher durch die Schwangerschaft

Aufgrund des mehrheitlich jungen Erkrankungsalters befinden sich PatientInnen mit chronisch entzündlichen Darmerkrankungen (CED) oft in der Phase der Kinderplanung. Auch wenn die Rate an Kinderlosigkeit unter CED-PatientInnen im Vergleich zur Normalbevölkerung erhöht ist, kann die Fertilität im Erkrankungsschub oder nach besonderen Situationen wie bspw. Beckenoperationen eingeschränkt sein. Dies verdeutlicht, dass CED-PatientInnen sich eher aufgrund ihrer Erkrankung einer freiwilligen Kinderlosigkeit oder -armut unterwerfen. Das muss nicht sein. Im Folgenden werden Maßnahmen zur Minimierung von Komplikationen und Kontrolle der Inflammationsaktivität beschrieben, denn das Erreichen einer stabilen Remission vor der Konzeption und während der gesamten Schwangerschaft ist der wichtigste Faktor, um das Risiko von Komplikationen während der Schwangerschaft so gering wie möglich zu halten.

Publication History

Article published online:
10 January 2022

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