![]() Pancolonic involvement is more likely at onset with shorter time from diagnosis to colectomy (median 11 years) than adults.Breastfeeding may protect against pediatric IBD.Ideally, pregnant women should be monitored by both gastroenterologist and maternal–fetal medicine specialist ( 2).Incidence rate of offspring from a UC mother of having UC is 3.7 (absolute rate of 1.6%).There is increased risk of preterm delivery and small for gestational age in women with active disease.Variable disease course in pregnancy seems to mirror disease state at conception 3 to 6 months of remission before conceiving decreases the risks of an exacerbation during pregnancy ( 2).Given the higher risk of thromboembolism in patients with UC, an estrogen-free contraceptive is preferred ( 2).Patient should be advised to conceive during remission if planning a pregnancy. Ulcerative colitis (UC) is a chronic inflammatory bowel disease of unknown etiology.
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