Inflammatory bowel disease (IBD) commonly affects women during the reproductive years. Opinion on the effect of IBD on fertility, conception, pregnancy and breastfeeding is varied. IBD does not have probably adverse effect on the outcome of pregnancy. Pregnancy in IBD patients should be closely monitored. This review provides the most current information on the inheritance, fertility, pregnancy, outcomes, foetal development and management of disease during pregnancy, and safety of medications in pregnancy and breastfeeding.