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DOI: 10.1055/s-0030-1262690
© Georg Thieme Verlag KG Stuttgart ˙ New York
Therapie chronisch-entzündlicher Darmerkrankungen in der Schwangerschaft
Publication History
Publication Date:
13 December 2010 (online)
![](https://www.thieme-connect.de/media/frauenheilkunde-u2d/201006/lookinside/thumbnails/10.1055-s-0030-1262690-1.jpg)
Kernaussagen
Chronisch-entzündliche Darmerkrankungen (CED) manifestieren sich meist im jungen Erwachsenenalter – in einem Zeitraum, in dem auch die Familienplanung stattfindet. Häufig sind CED-Patienten jedoch unsicher angesichts zahlreicher Fragen zum Thema Kinderwunsch, Schwangerschaftsverlauf und der Prognose des Kindes. Eine mögliche Vererbung der CED, eventuelle angeborene Abnormalitäten des Kindes und die befürchtete medikationsbedingte Teratogenität stellen häufig geäußerte Sorgen dar und beeinflussen damit auch die Familienplanung. Deutlich geringer ist demgegenüber die Angst der meisten CED-Patientinnen vor negativen Auswirkungen der Schwangerschaft auf die eigene Krankheit.
Das Bekanntwerden einer Schwangerschaft bei einer Patientin mit Morbus Crohn oder Colitis ulcerosa sollte von den beteiligten Ärzten positiv reflektiert werden, weil sowohl das krankheitsspezifische als auch das therapieassoziierte Schwangerschaftsrisiko gering sind. Ziel ist daher eine Remission oder eine niedrige Krankheitsaktivität vor und während der Schwangerschaft.
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PD Dr. med. N. Teich
Internistische Gemeinschaftspraxis für Verdauungs- und Stoffwechselkrankheiten
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04105 Leipzig
Email: teich@igvs.de