Crohn's and using a midwife

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NikkiE
Regular Member


Date Joined Mar 2005
Total Posts : 108
   Posted 4/9/2008 11:30 AM (GMT -7)   
Can someone with Crohn's Disease use a certified nurse midwife for their pregnancy and delivery? (Assuming of course that the Crohns is in "remission" i.e. not flaring)?  I'm also referring to a hospital delivery by a midwife.  Will a midwife aacept a client with IBD?  Does anyone have experience with this?  I really want a natural labor and delivery, I'm not fond of the medicalized form of birth.  Please let me know if you have used a midwife.
fibromyalgia since 1993, diagnosed in 2001, Crohns since 2000, diagnosed 2001.  Surgery in November of 2006, ilem and gallbladder removal.
 
"Be the changes you want to see."


SallyC
Regular Member


Date Joined Nov 2004
Total Posts : 158
   Posted 4/9/2008 12:37 PM (GMT -7)   
Hello,
I used a doctor and did 2 out of three (#3 being twins and used epidural just in case I needed an emergencyc section) with natural childbirth. The doctor (not the one I see on at every appt.) that delivered #2 was pretty lame so I tried a midwife in between pregnancies and had I not gone back to my doctor she would of totally went through a pregnancy and delivery with me. If something comes up that a midwife can't do she has a doctor she will consult with.
Honestly, I think as long as the pregnancy is going well even if you flare a midwife can work with your GI doctor just as well as a doctor. Hope all goes well with your pregnancy.
Sally
 
Diagnosed with UC in July of 2003 then diagnosed with Crohns in August of 2006.


weedlewub
Regular Member


Date Joined Jan 2008
Total Posts : 30
   Posted 4/9/2008 12:55 PM (GMT -7)   
I used a midwife at the hospital for my delivery. I just made her very aware of my condition when we had our initial appointment with the pregnancy. I was so scared, because I assumed I would be considered "high risk" and my midwife doesn't accept those patients. She made it seem like it was no big deal. I did have a flare-up during the pregnancy where she had to consult with my GI doctor, but other than that it was a textbook pregnancy and delivery.

By the way, don't be so rigid in your birth plan. I wrote up a two page birth plan for how I wanted to have my son - no epidural, no pitocin, room-in only, etc. Just about everything that I didn't want to happen (aside from a c-section) happened. When you are there and going through it, my best advice is to just go with the flow and let whatever happens happen. Ideally, I didn't want the epidural, but after 18 hours of labor and no sleep or food for 48 hours - I caved, and it was still a wonderful experience!!

Congratulations!!!
Crohn's Colitis
Currently taking Asacol and Prednisone
Recently started the Maker's Diet


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/9/2008 1:35 PM (GMT -7)   
I have no kids so I can be of no help nor do I plan on having any in the near future. But, I am curious what the downside are to having an epidural. Personally no pain = happy me. How much danger is their to the baby? Is it just that the baby get some of the drug even if it isn't dangerous? I do agree that it is nice to bring a child into a loving atmosphere rather than the harsh lights and cold tables of a hospital... but many hospitals have updated their birthing wards to be more home-like but still give you the benefit of a doctor on hand, and PAIN MEDS!!!
26 Year old married female law student.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid.  For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn.  I also have bad acid reflux and have been on PPI's since age 13.  I have been through prilosec, prevacid, and nexium.  Currently I am on Protonix in the morning and Zantac at night.  I alos take a birth control pill to allow some fun in my life.
 
 


mama2jmt
Regular Member


Date Joined Mar 2007
Total Posts : 301
   Posted 4/9/2008 1:39 PM (GMT -7)   
Hi Nikkie,

I also used a nurse midwife,but unlike yourself & the others,I hadn't been dx'd yet.She knew that I was having problems,but still felt totally comfortable & capable throughout my entire pregnancy.

I agree with weedlewub about the whole birth plan.I had it all planned to a T, but my daughter decided to come 6 weeks early & I had to be transferred to a different hospital where my midwife could not deliver.None the less,my whole experience with a nurse midwife during my pregnancy was absolutely wonderful!

Congratulations & good luck to ya!
~Jennifer~
Official Crohns DX-march 2004.Pentasa 4000mg,B12,Probiotics
         1 resection
Cardiomyopathy DX-may 2004.Coreg,Altace,Digitek,Lasix,Potassium,very low-sodium diet
          


Stef17
Veteran Member


Date Joined Feb 2003
Total Posts : 1811
   Posted 4/9/2008 2:36 PM (GMT -7)   
They have a risk scale they use to assess you. If you are higher than a 3 or 4 (if I recall correctly) they will not attend you. If that is the case you will have to see an OB.  I know because I wanted a midwife for baby #2, but I was too high risk according to their terms. I hope you find one who will take you.

Post Edited (Stef17) : 4/9/2008 3:46:53 PM (GMT-6)


hukleberrie
Regular Member


Date Joined Jan 2008
Total Posts : 491
   Posted 4/9/2008 5:23 PM (GMT -7)   
FitzyK23: Concerning the epidural, it makes it harder to push & then they may need to use other equipment such as forcepts or the vacuum to get the baby out. Pain medication given to the mother will transfer to the baby. The best & safest way to ensure a good birth is naturally as women have done for thousands of years.

I had both my children natural, no epidural or pain medication. I had a midwife for my second birth & it was SO much better than my first. They have more insight to delivery I believe than OBs do. But that is of course, my opinion.

BTW, I am on pain medication now.... I just want to say I am not against pain medication, I just did not want to pass it along to my baby. I figured if I didn't want to pass along other over the counter medications such as nyquil & stuff like that, why would I want to pass along a narcotic to my brand new baby?!?

I am newly DXd, so I did not have problems then & didn't have a problem with my midwife. I did, however, have tachycardia that needed to see a cardiologist, which made me worry I couldn't have a natural delivery with my midwife, but it didn't change a thing. ; )
Live for today, for tomorrow you might just get hit by a semi.


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/9/2008 5:50 PM (GMT -7)   
Thanks for clarifying!
26 Year old married female law student.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid.  For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn.  I also have bad acid reflux and have been on PPI's since age 13.  I have been through prilosec, prevacid, and nexium.  Currently I am on Protonix in the morning and Zantac at night.  I alos take a birth control pill to allow some fun in my life.
 
 


NikkiE
Regular Member


Date Joined Mar 2005
Total Posts : 108
   Posted 4/10/2008 12:02 PM (GMT -7)   
:-)  Thank-you so much for replying to my question, I really appreciate it!  I am so glad to hear several of you were able to use midwifes despite your conditions.  I'm  not pregnant yet but hope to be in about a year/ year and a half.  I do hope and plan on a natural pregnancy and delivery, but I know there are no guarantees.  I have a birth plan typed up already, only about a page double spaced.  AS far as me and pain meds go , or epidurals, I don't do well with any medication.  Usually doesn't work or I have a bad reaction.  Hence why I've gone all natural in all areas of my life and hope to do the same with pregnancy and baby.  I agree with huckleberrie, midwifes are much better with birth.  They view it as a natural process as opposed to an emergency or medical condition.  But obviously if you are very sick or have a serious medical condition you should stick with an ob.  But for me all of those conventional birth things such as epidurals, episiotomies and drugs would probably do me more harm than good.  Obviously concerned about baby too.  But I believe each woman should choose for herself what is right for her and her baby.  To each his own you know.  Just keep in mind as women are bodies were made for giving birth naturally- no pushing on demand, inductions, or meds for pain. Interventions in the natural priocess usually cause other problems  Just a thought.  Once again thanks for responding.  NikkiE
fibromyalgia since 1993, diagnosed in 2001, Crohns since 2000, diagnosed 2001.  Surgery in November of 2006, ilem and gallbladder removal.
 
"Be the changes you want to see."


Miss_patience
Regular Member


Date Joined Mar 2007
Total Posts : 29
   Posted 4/10/2008 5:49 PM (GMT -7)   

I am lurking from the UC board but I am currently 25 weeks pregnant.  I used to see a midwife before I was pregnant and when my Drs told me we could start trying they also told me that I needed to find an OB not a midwife as well as consult a high risk (perinatologist) Dr.  Because anyone with IBD (in remission or no)t is considered high risk.  I dont know if all Drs agree on this but I have seen it mentioned on CCFA as well.  Just because you see an OB doesnt mean that you have to have a medicated birth.  It just means that a home birth would not be an option.

Hope this helps, and good luck when you decide to start trying!


ski bum
Regular Member


Date Joined Jan 2007
Total Posts : 451
   Posted 4/11/2008 4:32 PM (GMT -7)   
I manage medical malpractice claims for an insurance company. Although labor and delivery is generally a happy and wonderful experience, it is not without risks. I would highly recommend if you use a nurse midwife, to deliver in a hospital setting (or hospital like setting with easy access to a hospital). Nurse midwives have more time to spend with their patients and don't just pop it when it's time to push. THere are plenty of nurse midwives who work in the hospital and if there are any problems, you have OBs, perinatologists, maternal fetal medicine specialists and neonatologists available, if necessary.
50 y/o F. CD dx'd Aug 05. Initially on Pentasa, then Imuran 125 mg. Started Humira (very reluctantly) on 10/24/07. Currently on Humira and Entocort.


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/11/2008 5:05 PM (GMT -7)   
Hey Nikkie -

I was thinking about what you said about women being made to give birth naturally... Unfortunatly I don't think our society is the same as it was in the good old days. First, with all the hormones in our diets and whatever else that is out there, babies are getting bigger and bigger. If we look back on the times we all gave birth naturally the infant mortality rate was much higher and the mother's mortality rate too. Pregnancy and birth were much more risky. I think medicine has helped make it safer though taking some of the specialness out. I totally agree with you wanting a natural birth... I just think we can't entirely compare the past and now.
26 Year old married female law student.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid.  For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn.  I also have bad acid reflux and have been on PPI's since age 13.  I have been through prilosec, prevacid, and nexium.  Currently I am on Protonix in the morning and Zantac at night.  I alos take a birth control pill to allow some fun in my life.
 
 

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