JCC: Increasing incidence of postpartum surgery complications after caesarean section in women with inflammatory bowel disease

Inflammatory bowel disease (IBD) is usually diagnosed during a patient's childbearing age and usually coincides with the time of pregnancy
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Female patients with IBD have a higher rate of caesarean section than the general population, but the reason is not clear

Inflammatory bowel disease (IBD) is usually diagnosed during a patient's childbearing age and usually coincides with the time of pregnancy

 

The researchers collected data on women who gave birth from January 1, 1997 to December 2015, and included all IBD mothers who had a C-section or vaginal delivery into this study
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Then the results of surgery on the abdomen and perineum of the parturient 30 days postpartum were compared and adjusted for multiple confounding factors

 

The results of the study showed that 2.
1% of women with IBD (n=3,255) and 0.
3% of women with vaginal delivery (n=6,425) had surgical complications
.

Women with IBD who had a C-section were more likely to undergo small bowel and colon surgery ((aOR) 5.

 

This study confirms that compared with vaginal delivery, regardless of whether the cesarean section is for emergency or selective reasons or immunosuppressive agents are used before delivery, women with IBD have an increased risk of surgical complications after cesarean section
.

So many digestive physician believes that the non-complex diseases Crohn's disease in pregnant women, in determining its mode of delivery, should be careful

This study confirms that compared with vaginal delivery, regardless of whether the cesarean section is for emergency or selective reasons or immunosuppressive agents are used before delivery, women with IBD have an increased risk of surgical complications after cesarean section

Sonia Friedman.

Postpartum surgical complications in women with inflammatory bowel disease after caesarian section: A Danish nationwide cohort study.
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