Crohn's disease: First diagnosis in pregnancy and management. (June 2017)

• Record Type: Journal Article
• Authors: Jamieson, C; Morosan, M; Cameron, M
• Is Part Of: Obstetric medicine. Volume 10:Number 2(2017:Jun.)
• Page Start: 85
• Page End: 87
• Publication Date: 2017-06
• Subjects: Maternal–fetal medicine; Pregnancy -- Complications -- Periodicals; Obstetrics -- Periodicals; 618.2
• DOI: 10.1177/1753495X16671231
• Languages: English
• ISSNs: 1753-495X

Abstract

This case addresses the difficulty in the initial diagnosis of severe Crohn's disease in pregnancy as well as the challenges of instituting remission therapy towards the end of second trimester. The patient's course was complicated by recurrent hospital admissions and intolerance to diet requiring temporary nasogastric feeding. Medical management included the use of biological agents during pregnancy, which allowed for better symptomatic control. She sustained no further complications and underwent a successful vaginal delivery of a healthy baby at 37 weeks' gestation.