Abstract
Background: Active inflammatory bowel disease (IBD) and IBD surgery can have a negative impact on ability to conceive a pregnancy many patients with stomas are concerned about pregnancy. Aim: This study aimed to describe IBD-related, stoma-related, obstetric and neonatal outcomes in pregnancies of women who had stomas formed for IBD prior to the reported pregnancies. Methods: A multicentre retrospective audit used routine records from 15 UK hospitals on women with IBD and pregnancy after stoma formation since 2014. Results: In one miscarriage, one stillbirth and 80 live births, delivery occurred in 58 cases by caesarean section (CS), of which 44 were elective and 14 emergency. The 73% CS rate compares to a national rate of 29.1%. There was a high rate of serious stoma complications at 24%, although most were managed conservatively. Conclusions: Guidance and patient information should be updated to facilitate early conversations with obstetric teams and counsel women about increased risk of planned CS after IBD surgery with a stoma.
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