I did end up having my baby naturally. My Dr. said that there isn't anything as far as the disease goes that would prevent a woman with Lupus from delivering naturally. Of course, I had a little help with an epidural-lol. I was in labor for 18 hours and pushing took 4 hours of that. My rhuemy has started me on Cellcept already, as that was the plan we were going to take before I found out I was pregnant. In fact, I had taken 5 doses before I did another pregnancy test of my own and found it positive. I'm hoping with my increased prednisone and the Cellcept that I can try to avoid a flare at this time. Fingers are crossed!