Abstract：
BACKGROUND: Over 42 000 Australians live with a stoma, and this number increases annually. Pregnancy in stoma patients is a rare but complex condition and there is limited published literature regarding surgical and obstetric complications in pregnant stoma patients. The aim of this paper was to review stoma outcomes, perinatal morbidity and mortality, and early postpartum period in pregnant stoma patients.
METHODS: Data was retrospectively obtained on women of childbearing age, with a stoma, who had been pregnant and birthed in the last nine years at the Royal Brisbane and Women\'s Hospital between January 2014 to December 2022. Data recorded included patient demographics, type of stoma, indication for stoma, need for additional abdominal surgeries, method of conception, pregnancy complications, length of stay, neonatal outcomes and post pregnancy stomal complications.
RESULTS: In total, there were 16 births from 13 mothers with stomas. Of 10 births to IBD patients, 40% experienced a serious stomal complication. Caesarean section (CS) rate was 90% for IBD and 83% for non-IBD. In-vitro fertilisation rates were 40% in IBD patients and 0% in non-IBD patients. The average gestational age at delivery was 36 weeks in IBD and 35 weeks non-IBD patients. Neonates delivered to IBD mothers had a birth weight under 2500g in 40% of cases and in non IBD mothers at 33.3% (p = 0.62). Of the sixteen births there was five complications (31.25%) associated with the stoma either during pregnancy or during the sixty-day postpartum period.
CONCLUSIONS: Pregnancy in stoma patients is a rare occurrence and appears to be associated with high rates of CS, preterm delivery, low birth weight and stomal complication.
METHODS: Data was retrospectively obtained on women of childbearing age, with a stoma, who had been pregnant and birthed in the last nine years at the Royal Brisbane and Women\'s Hospital between January 2014 to December 2022. Data recorded included patient demographics, type of stoma, indication for stoma, need for additional abdominal surgeries, method of conception, pregnancy complications, length of stay, neonatal outcomes and post pregnancy stomal complications.
RESULTS: In total, there were 16 births from 13 mothers with stomas. Of 10 births to IBD patients, 40% experienced a serious stomal complication. Caesarean section (CS) rate was 90% for IBD and 83% for non-IBD. In-vitro fertilisation rates were 40% in IBD patients and 0% in non-IBD patients. The average gestational age at delivery was 36 weeks in IBD and 35 weeks non-IBD patients. Neonates delivered to IBD mothers had a birth weight under 2500g in 40% of cases and in non IBD mothers at 33.3% (p = 0.62). Of the sixteen births there was five complications (31.25%) associated with the stoma either during pregnancy or during the sixty-day postpartum period.
CONCLUSIONS: Pregnancy in stoma patients is a rare occurrence and appears to be associated with high rates of CS, preterm delivery, low birth weight and stomal complication.
摘要：
背景：超过42000名澳大利亚人生活在造口中，这个数字每年都在增加。造口患者的妊娠是一种罕见但复杂的疾病，关于妊娠造口患者的外科和产科并发症的公开文献有限。本文的目的是回顾造口的结果，围产期发病率和死亡率，产前期在妊娠造口患者中。
方法：回顾性获得了育龄妇女的数据，有一个造口，在2014年1月至2022年12月期间，她在皇家布里斯班和妇女医院怀孕并出生了九年。记录的数据包括患者人口统计，造口的类型,造口的适应症，需要额外的腹部手术，概念的方法，妊娠并发症,逗留时间,新生儿结局和妊娠后造口并发症。
结果：总计，有来自13个有气孔的母亲的16个出生。在10例IBD患者中，40%经历了严重的造口并发症。IBD的剖宫产率（CS）为90％，非IBD的剖宫产率为83％。IBD患者的体外受精率为40％，非IBD患者为0％。IBD和35周非IBD患者的平均分娩胎龄为36周。在40％的病例中，分娩给IBD母亲的新生儿出生体重低于2500g，在非IBD母亲中为33.3％（p=0.62）。在16例分娩中，在怀孕期间或产后60天期间，与造口相关的并发症有5例（31.25％）。
结论：造口患者的妊娠很少发生，并且似乎与高CS发生率有关，早产,低出生体重和造口并发症。
方法：回顾性获得了育龄妇女的数据，有一个造口，在2014年1月至2022年12月期间，她在皇家布里斯班和妇女医院怀孕并出生了九年。记录的数据包括患者人口统计，造口的类型,造口的适应症，需要额外的腹部手术，概念的方法，妊娠并发症,逗留时间,新生儿结局和妊娠后造口并发症。
结果：总计，有来自13个有气孔的母亲的16个出生。在10例IBD患者中，40%经历了严重的造口并发症。IBD的剖宫产率（CS）为90％，非IBD的剖宫产率为83％。IBD患者的体外受精率为40％，非IBD患者为0％。IBD和35周非IBD患者的平均分娩胎龄为36周。在40％的病例中，分娩给IBD母亲的新生儿出生体重低于2500g，在非IBD母亲中为33.3％（p=0.62）。在16例分娩中，在怀孕期间或产后60天期间，与造口相关的并发症有5例（31.25％）。
结论：造口患者的妊娠很少发生，并且似乎与高CS发生率有关，早产,低出生体重和造口并发症。
