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Association between maternal inflammatory bowel disease and adverse perinatal outcomes
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Association between maternal inflammatory bowel disease and adverse perinatal outcomes
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Journal Article
Association between maternal inflammatory bowel disease and adverse perinatal outcomes
2014
Overview
Objective:
To examine whether inflammatory bowel disease (IBD) is associated with ischemic/inflammatory conditions during pregnancy.
Study Design:
A retrospective cohort study using the 2000 to 2012 Kaiser Permanente Southern California maternally-linked medical records (
n
=395 781). The two major subtypes of IBD, ulcerative colitis and Crohn’s diseases were studied. Adjusted odds ratios (ORs) were used to quantify the associations.
Result:
A pregnancy complicated by IBD was associated with increased incidence of small-for-gestational age birth (OR=1.46, 95% confidence interval (CI)=1.14 to 1.88), spontaneous preterm birth (OR=1.32, 95% CI=1.00 to 1.76) and preterm premature rupture of membranes (OR=1.95, 95% CI=1.26 to 3.02). Further stratifying by IBD subtypes, only ulcerative colitis was significantly associated with increased incidence of ischemic placental disease, spontaneous preterm birth and preterm premature rupture of membranes.
Conclusion:
The findings underscore the potential impact of maternal IBD on adverse perinatal outcomes. Clinicians should be aware that the association between IBD and adverse perinatal outcome varies by IBD subtypes.
Publisher
Nature Publishing Group US,Nature Publishing Group
