Pregnancy and breast feeding

[Margaret__0]

  I would like more information on ulcerative colitis re: pregnancy.  Specifically if there is any correlation with onset of ulcerative colitis during pregnancy.
  Also, are there any contraindications to nursing when under treatment of ulcerative colitis.  Are there any relationship to increased symptoms of ulcerative colitis during lactation?
  I have recently been diagnosed with ulcerative colitis.  I am 7 1/2 months post-partum.  I had symptoms of passing large blood clots in my stool during pregnancy and then bloody, mucous lately.  I am still nursing.  After my colonoscopy, I was started on suppositories and enema forms of Rowasa and also on pill form of Asacol.
  I would appreciate any input.  Thank you.
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Dear Margaret,
Sorry for the delay in responding to your questions, but some research was needed to answer the questions related to bresat feeding.
1) Patients with ulcerative colitis will often have a flare (exacerbation of symtoms) in the first trimester of pregnancy and again near term or in the post partum period.  In general, women usually have less symptoms during the second and third trimesters.
2) Corticosteroids and mesalime or Azulfadine are used to treat the symptoms of ulcerative colitis.  Very minute quantities of steroids are transfered in breast milk.  Taking corticosteroids is not a contraindication to bresat feeding.
3) Mesalamine and Azulfadine have been transmitted in breast milk.  Although there have been only single reports of child problems when the mother takes these medications, it is recommended that mothers watch their children when taking these medications and breast feeding.  If diarrhea develops in the child, stop breast feeding or stop the medication.
This information is provided for educationalpurposes only.  Always consult your personal physician for specific medical issues.
HFHSM.D.-rf
*keywords: ulcerative colitis, treatment, breast feeding
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