C-section (n = 153) | Vaginal (n = 169) | P value | |
---|---|---|---|
Median age at delivery (years) | 31 (27–32) | 28 (25–32) | 0.021 |
BMI > 30 | 40 (26%) | 33 (19%) | 0.157 |
Median age at IBD diagnosis (years) | 22 (16–26) | 22 (17–26) | 0.436 |
Smoking | 37 (24%) | 40 (24%) | 0.914 |
More than 5 years between diagnosis and delivery | 117 (76%) | 116 (68%) | 0.117 |
Previous surgery for IBD | 77 (50%) | 48 (28%) | < 0.001 |
Ileocolonic involvement | 67 (54%) | 66 (50%) | 0.564 |
Perianal disease before delivery | 43 (79%) | 1 (8%) | < 0.001 |
First delivery? | 86 (56%) | 104 (62%) | 0.335 |
Status of perianal disease | < 0.001 | ||
None Healed Quiescent Active | 103 (67%) 16 (10%) 20 (13%) 14 (9%) | 158 (93%) 10 (6%) 0 1 (1%) | |
Steroids | |||
Before delivery During delivery After delivery Any time | 54 (35%) 19 (12%) 34 (22%) 64 (42%) | 56 (33%) 15 (9%) 18 (11%) 69 (41%) | 0.683 0.302 0.004 0.855 |
Biologics | |||
Before delivery During delivery After delivery Any time | 70 (46%) 43 (28%) 66 (43%) 80 (52%) | 63 (37%) 43 (25%) 74 (44%) 86 (51%) | 0.123 0.590 0.907 0.802 |
Immunomodulators | |||
Before delivery During delivery After delivery Any time | 37 (24%) 10 (6%) 20 (13%) 42 (27%) | 28 (17%) 2 (2%) 13 (8%) 37 (22%) | 0.089 0.011 0.111 0.247 |
5-ASA | |||
Before delivery During delivery After delivery Any time | 39 (25%) 21 (14%) 31 (20%) 51 (33%) | 68 (40%) 31 (18%) 50 (30%) 82 (48%) | 0.005 0.261 0.054 0.006 |
Antibiotics | |||
Before delivery During delivery Any time | 3 (2%) 6 (4%) 9 (6%) | 2 (1%) 1 (1%) 3 (2%) | 0.573 0.041 0.052 |
Post-delivery perianal flare | 17 (11%) | 4 (2%) | 0.002 |
Median interval between delivery and flare (months) | 2 (0–13) | 4.5 (2–10) | 0.731 |