Contraception and pregnancy in cystic fibrosis

Abstract

The continuing advances in the management of CF have meant that parenthood is a realistic aim for many women and increasingly for affected men. Although the outlook for pregnancy in the CF population is generally good, it seems likely that those with poor prepregnancy lung function are at greater risk of complications and long-term sequelae and must be informed of the unpredictable but possible irreversible deterioration in their own health. Therefore the issues regarding fertility and contraception should be addressed in the teenage years, and a responsible attitude to contraception generated. Prepregnancy counselling is a crucial component of overall obstetric care. Perhaps a standard 'discussion' or forum should be arranged at 16-18 years of age to ensure that all CF patients have the chance to be appropriately informed. During pregnancy a multidisciplinary approach is crucial and meticulous antenatal care are crucial in order to ensure the best possible outcome for both mother and baby.