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Krica
Regular Member


Date Joined Apr 2007
Total Posts : 99
   Posted 10/9/2008 5:05 AM (GMT -7)   
confused   Hi, i just saw my general practice she said that i do not need prenatal vitamins. I am taking fish oil, iron tablets, probiotics and azathioprine 100mg a day. In a period of one week i have already saw three doctors in this general practice and to be honest i am not sure about their opinion. The doctor that i saw today told me that i do not need to see an expert for complications in pregnancy.  I have strictures and one of them is very tight. Is it right?? Is my pregnancy a high risk because i have chron's?? My crohn's is under control, but i am in a situation that i do not know what vitamins to take, i know that if you have crohn's you  are not able to absorb the vitamins and proteins well. Please anyone that could give me advise i would appreciate. Thanks.

EMom
Veteran Member


Date Joined Aug 2007
Total Posts : 990
   Posted 10/9/2008 5:15 AM (GMT -7)   
I'll let someone else tackle the crohn's/pregnancy question, but you don't mention whether you're taking a multi vitamin. Folic acid is VERY important!!! Also extra calcium! Are you currently taking these?
Mom to 16 year old boy diagnosed in June, 2007.
Omega 3s, digestive enzymes, probiotics, vit. C, calcium w/D3, a good multivitamin and SCD legal yogurt
Started The Maker's Diet in Sept. '07. Gradually learning/using more SCD recipes, too! (cooking challenged)


Krica
Regular Member


Date Joined Apr 2007
Total Posts : 99
   Posted 10/9/2008 6:03 AM (GMT -7)   
Hi Emom i am not taking mult vitamin and calcium, the only vitamins i am taking are fish oil, probiotic, iron tablets and folic acid ( that i forgot to meantion in my post). My general practice told me that i do not need prenatal vitamin, that is fine what i am taking , but i am not sure if she is right. I am feeling confused because i do not know what to take .....

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 10/9/2008 6:30 AM (GMT -7)   
I had all 3 of my children after my diagnosis. I did not have a high risk ob doc for any of them. So I don't think thats required for all Crohnie mothers to be. As for prenatal vitamins I always took them. I didn't use a specific brand, but I did take them. Hope that helps.
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.


EMom
Veteran Member


Date Joined Aug 2007
Total Posts : 990
   Posted 10/9/2008 7:54 AM (GMT -7)   
Krica said...
Hi Emom i am not taking mult vitamin and calcium, the only vitamins i am taking are fish oil, probiotic, iron tablets and folic acid ( that i forgot to meantion in my post). My general practice told me that i do not need prenatal vitamin, that is fine what i am taking , but i am not sure if she is right. I am feeling confused because i do not know what to take .....


Did you ask WHY your GP doesn't think you need a prenatal vitamin? I think it's true that prenatal vitamins upset many women's stomachs, so maybe that's why they're hesitant to prescribe it. I would definitely check into calcium, though. Google the words "pregnancy and calcium". There's lots of good information on how much you should be getting. Maybe you are getting enough through diet, but many--if not most--women don't. Also, you should continue taking it through breast-feeding. Now, calcium CAN be binding/constipating for SOME people, so if this is something you deal with, consider taking it with magnesium which has the counter effect.

How much folic acid are you taking? The recommended daily amount for a pregnant woman, according to the site below, is 800 to 1,000 mcg (1 mg). Folic acid would be included in a good multi vitamin (it's in the B complex family), though the level might not be that high.

If you want a prenatal vitamin, if it gives you piece of mind, then ask for it and give it a try! (or go to your local health food store and buy a high-quality one!) It would probably mean you would stop your individual folic acid and iron because those would be included in the prenatal (and if you've found an iron you tolerate well, again that might be why your GP doesn't want to mess with a change). On the other hand, if your diet is really good (lots of leafy greens, lots of fresh fruits and veggies, good sources of protein) then maybe you really don't need it!

Here, this seems like a pretty good article. Check out the part under "Are all prenatal vitamins the same?" http://www.webmd.com/baby/guide/prenatal-vitamins
Mom to 16 year old boy diagnosed in June, 2007.
Omega 3s, digestive enzymes, probiotics, vit. C, calcium w/D3, a good multivitamin and SCD legal yogurt
Started The Maker's Diet in Sept. '07. Gradually learning/using more SCD recipes, too! (cooking challenged)


lamb61
Veteran Member


Date Joined Jan 2005
Total Posts : 1719
   Posted 10/9/2008 9:12 AM (GMT -7)   
Krica,
I took 2 prenatals/day with both pregnancies. My ob/gyn said I needed it because of dietary issues and malabsorbtion. I thought all pregnant women were urged to take a supplement.
 


d2parrotperson
Regular Member


Date Joined Aug 2008
Total Posts : 320
   Posted 10/9/2008 9:48 AM (GMT -7)   
I strongly suggest calcium & folic acid!! STRONGLY! They don't upset your tum. Back when I was dx'd I had just delievered my son. I got Crohn's while I was pregnant. The only symptom I had was diarrhea, that is until he was born. Once he was born all the symptoms hit me like a mack truck. Back then (30 yrs ago) they told me it was a miracle the baby lived. They said most miscarried. Nowadays, however, lots of folks with Crohns' ahve babies. I don't believe it to be high risk anymore. Meds have come a long, long way since then. You will likely feel pretty good during the pregnancy. Enjoy the reprieve! Do take calcium & folic though. Both for the baby and you.
150mg Azathioprine, Lomotil, Iron, Nexium 2/day, Fentanyl patch, Oxycodone, Baclofin
Crohn's, Fibromyalgia, Several bulging discs, Bone spurs, Osteoarthritis, Osteopenia, Reflux, Stenosis, Strictures, Dengenerating facet joints
2 resections
 
Stephanie
When I am weak, then am I strong


Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 10/9/2008 10:42 AM (GMT -7)   
I don't know about how well your stomach can tolerate vitamins, but I thought that they were recommended for Crohn's, never mind pregnancy. Crohn's impairs absorption, so I would think that vitamins would be a good idea, especially for the developing baby???

SydneyJo
Veteran Member


Date Joined Mar 2006
Total Posts : 1354
   Posted 10/9/2008 2:49 PM (GMT -7)   
Krica,
I have 4 children and I took iron, folic acid, calcium and a multi vitamin and I continue to take them to this day (they didnt have probiotics back then). I would continue taking you vitamin regime the way you were, it really wont hurt and surely has to be beneficial to your and the babies wellbeing.
Congrats on your pregnancy and keep us updated on your health.
Jo
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