Pregnancy, delivery, complications

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Chasity102304
Regular Member


Date Joined Nov 2007
Total Posts : 165
   Posted 1/10/2008 1:29 PM (GMT -7)   
I was dx with Crohn's after having a VERY bad flare during my first pregnancy in 05. In Dec, my husband and I talked with my GI about all the issues regarding getting pregnant again (ie: going off meds, staying on Remicade, changing doses, ect).  I recently found out that I am pregnant-5 weeks. My GI was confident that I had a better chance of getting pregnant and having a healthy pregnancy and baby by staying on Remicade and not risking a flare. I have had one bowel resection (july 07) and I am feeling fabulous right now. My question(s) are about any kind of delivery complications after a resection? Is natural childbirth still an option or is a c-section required? I have an appt with my OB/GYN next week so I will definitely ask him then, but I enjoy other personal experiences as well. My OB/GYN is not over joyed about me staying on Remicade but for me it was the only/right choice. He has agreed to still treat me and stay in contact with my GI.  
Fibromyalgia DX March 2003
Crohn's DX Jan 2006 (Symptoms since 96-Misdiagnosed as "female" problems-Major flare during pregnancy in 05 which lead to DX)
1st resection July 2007
Currently on Remicade/8 weeks


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 1/10/2008 2:27 PM (GMT -7)   
Stef17 is your lady to talk to. She has had two Remicade babies. Congrats on your coming littleone!
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 1/10/2008 5:06 PM (GMT -7)   
A resection should not interfere with your ability to have a natural childbirth. The only reason a previous abdominal surgery would be an issue is if it involved the uterus. There is some debate about the risks associated with naturral birth after having a c-section. The concern is that, because the uterine wall has been cut, the uterus might rupture during the trial of labour (that's why most sections are performed transverse, not vertically)

If you remain healthy and active through your pregnancy, want to give birth naturally and approach labour with proper planning and a positive attitude you should be fine. It is really helpful to have a knowledgeable birth advocate who you trust to help you and your husband prepare. Ask whether your community has any parenting/breastfeeding support groups. These experienced moms can be great sources of information.

Isn't it wonderful that you are in remission and can enjoy this miraculous time in your life. With warm wishes that you remain healthy and until you have that beautiful baby in your arms.
Belleenstein:

30+ years living with Crohn's.


Chasity102304
Regular Member


Date Joined Nov 2007
Total Posts : 165
   Posted 1/11/2008 7:06 AM (GMT -7)   
I am aware of the possible complications of a VBAC but haven't had any procedures to my uterus thus far. My husband and I are planning to talk in depth with my OB/GYN about anything we can do to make this pregnancy healthy and pleasant considering the awful memories of my last pregnancy. Thanks for your replies.
Fibromyalgia DX March 2003
Crohn's DX Jan 2006 (Symptoms since 96-Misdiagnosed as "female" problems-Major flare during pregnancy in 05 which lead to DX)
1st resection July 2007
Currently on Remicade/8 weeks


Stef17
Veteran Member


Date Joined Feb 2003
Total Posts : 1811
   Posted 1/11/2008 8:04 AM (GMT -7)   
Well, congrats on baby #2!!! That's great news! I haven't had any surgeries so I do not know about possible complications on vaginal vs. c-sec. If at all possible I would avoid a c-sec just because it's a major surgery, BUT... definitely consult with your GI and your OB in this one. I have always found that my GI knows more about pregnancy and CD than my OB, so I always leaned a little more towards what my GI would tell me. I have had 2 c-sections because my cervix refuses to dilate past 1.5cm. I don't know that it has anything at all to do with the crohn's but maybe it's just my wacky self. Either way, my pregnancies went smoooooooothly on the remicade and it was the best thing I could ever do for myself and my kiddos. I hope you can get some more info on the resection: c-sec or not thing. That is important information to consider.

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 1/11/2008 8:22 AM (GMT -7)   
I just wanted to share also that I when I had my children I had not had any Crohns/abdominal surgeries yet. I had my first baby natural, the 2nd C-sect and the 3rd VBAC. I didn't have any problems at all with the VBAC delivery. She just had to be induced, she didn't want to come out I guess.
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.

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