Before you conceive consider the following recommendations:

  • Take high dose folic acid 5mg for at least 3 months prior to pregnancy and during the first trimester of pregnancy.
  • Discuss the medications you are taking with your general practitioner or gastroenterologist*

During pregnancy:

  • You will be cared for by an obstetrician, your general practitioner and a gastroenterologist during pregnancy.
  • IBD flares occur less frequently during pregnancy  if your disease is in remission at the time of conception.
  • At your first hospital visit you will have blood tests performed, a baseline blood pressure measurement and urinalysis, and an ultrasound scan.
  • An anomaly scan is performed for all women between 20 and 22 weeks of pregnancy.
  • A glucose challenge test is usually performed around 28 weeks of pregnancy to check for diabetes in pregnancy, especially if you are taking steroid medications.
  • Most women with IBD will have a vaginal delivery. A caesarean section may be recommended for women with perianal disease.

Medications that are used in pregnancy and breastfeeding include*:

  • Paracetamol
  • Prednisolone
  • Sulfsalazine
  • Azathioprine
  • cyclosporine
  • Infliximab

Hyperemesis Gravidarum (HEG)

Hyperemesis gravidarum is protracted nausea and vomiting in the first trimester of pregnancy. It can lead to weight loss, electrolyte imbalance such as low potassium

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Pre-eclampsia is a pregnancy complication that affects about 10% of first time mums. It usually happens after 28 weeks gestation and close to the end

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Gestational diabetes (GDM)

Gestational diabetes means diabetes diagnosed for the first time in pregnancy and resolving after delivery. It affects about 15% of women. Screening for gestational diabetes

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Ectopic pregnancy

Ectopic pregnancy happens in about 1 in 100 pregnancies and one third of women will not have a risk factor for developing this type of

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