Is it necessary to go to a high risk or special OB/GYN ? do you ?

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Regular Member

Date Joined Jul 2005
Total Posts : 207
   Posted 12/3/2007 8:20 PM (GMT -6)   
hello everyone.. I will be finishing grad school in Aug 08 and my hubby and I would like to start a family soon after.  My OB/GYN recently moved out of town so I have to get a new one. I am just thinking in advance, what experience have you had with your OB/GYN and Crohns? Do we or should we see a specialist when pregnant b/c of our Crohns? Can a reg OB/GYN handle the q's & concerns that could arise with Prednisone and flares and etc. during the course of our pregnancies..? Any comments would be appreciated. Thanks.
28 Year old Female. Dx with Crohns 2005. Currently take Imuran 50 mg.
Dx with Pyoderma Gangrenos (PG) Nov '07, currently on Prednisone 40mg for PG, slowly tapering from 60mg ...  most importantly the taper is in effect !

Veteran Member

Date Joined Apr 2007
Total Posts : 531
   Posted 12/3/2007 11:29 PM (GMT -6)   
I had my children over 30 yrs ago, but had absolutely no problems while pregnant. I also took no meds so there was a difference. I had my 1st resection when I was 19 and my first child when I was 23.
Diagnosed at age 19 with CD.
3 small bowel resections, 1 for perforation, 2 for strictures 

D&G's Mommy
Regular Member

Date Joined Jan 2005
Total Posts : 185
   Posted 12/4/2007 6:44 AM (GMT -6)   
I had my kids when I was 37 and 39 and have had Crohn's since I was 16/17. I went to a regular OB/GYN and also involved my GI. With my first pregnancy everything went fine and I felt great until after I delivered. With my second, I had to stay on a low dose of prednisone throughout and had 5 or 6 ultrasounds to monitor my daughter's growth. That was it. Both kids are reasonably healthy, usual kids stuff.

Good luck to you on starting a family.
Mommy to a 5 and 6-year-old
Currently on Humira, questran from time to time.
Using acupuncture.

Regular Member

Date Joined Oct 2006
Total Posts : 367
   Posted 12/4/2007 9:34 AM (GMT -6)   
Dr. Marla Dubinsky at Cedars-Siani says all women with CD should have a high risk ob/gyn. I think however, if you are relatively mild and you keep your GI involved, a regular ob/gyn should be ok--as long as the ob/gyn is aware and familiar with CD.

Regular Member

Date Joined Jul 2007
Total Posts : 402
   Posted 12/4/2007 10:46 AM (GMT -6)   
I usually post on the UC board but lurk on this board periodically, too. I am currently pregnant and see a high-risk OB. Both my GI and my regular GYN felt it was important that I see a high-risk OB due to the medications I am taking while pregnant, risk of flare-up, etc. I did flare during my first trimester and had to go on a short taper of Prednisone. My OB was great because he has dealt with this many times before.

I have found that there are benefits to being high-risk. I've had 9 ultrasounds and a gazillion prenatal tests! :-)
Current Medications:
- Asacol (4 pills, 2x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)

Veteran Member

Date Joined May 2005
Total Posts : 4219
   Posted 12/4/2007 12:32 PM (GMT -6)   
I am not planning/trying to get pg anytime soon but I do have worries about potentially having a fistula. I am planning on making a gyno appt soon since so far my primary has done my paps. I am going to ask if they have IBD knowledge and whether or not they have treated a fistula before picking one.
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!

Veteran Member

Date Joined Mar 2006
Total Posts : 2673
   Posted 12/4/2007 12:37 PM (GMT -6)   
I had a really good OB/GYN when I was pregnant with my son. But my problems with Crohn's really kicked in after his birth (like six months after). My GYN now, said if I ever got pregnant she would refer me to a high risk doc. I have high blood pressure, Crohn's, and PCOS. So I'm a mess! I won't get pregnant again though. I didn't like taking Tylenol when I was pregnant with my son, I would be a wreck knowing I have to take all these medications now days.
Diagnosed with mild Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Asacol and Questran.

Regular Member

Date Joined Oct 2007
Total Posts : 289
   Posted 12/4/2007 1:02 PM (GMT -6)   
I went to a regular OB,and kept my GI informed,no problems at all. At the time,I was taking Asacol and Prednisone,he did the Pred to prevent a flare after delivery,which did work. Good luck :-)

Regular Member

Date Joined Aug 2003
Total Posts : 303
   Posted 12/4/2007 3:26 PM (GMT -6)   
I saw and see my regular OB, but he works VERY closely on my case with my GI. He doesn't know enough about Crohn's for him to not even consider talking to my GI about my pregnancies. (He learned his lesson before I got pg by telling me I had to stop Imuran before trying to conceive - I crashed and ended up in the hospital with a massive flare. Now he defers to my GI on all things CD related.) :)

Regular Member

Date Joined Apr 2005
Total Posts : 56
   Posted 12/4/2007 5:15 PM (GMT -6)   


I have two healthy kids and I just went to a regular OB/GYN. I made sure that they knew that I had crohns. I was on no medication while I was pregnant. Actually I was the healthiest that I ever have been my hubby and I joke that I should always be pregnant.

Remember you control you like not your crohns


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