Hi - Welcome to HealingWell.
I am currently pregnant with our first child (32 weeks) and have taken Asacol and Rowasa throughout the pregnancy. I had a flare during my first trimester and ended up on a short taper of Prednisone, which pushed me back into remission. According to my GI, high-risk OB and my own independent research, Asacol, Rowasa and Prednisone are all safe for use during pregnancy. They don't cross the placenta, so they do not affect the baby at all.
As for Entocort, I would encourage you to research its use during pregnancy. Both my OB and GI have stated that it should not be used during pregnancy, as it can cause certain birth defects. I never researched it on my own, since it wasn't a necessity for me, so I went with their advice. Both were pretty adamant about
My best advice would be to find yourself a high-risk OB and have a consultation visit with him or her. You should also have a visit with your GI to talk everything through before you conceive. Make sure that your OB and GI can and will work together. Communication between the two of them is an absolute must. Also, make sure that your OB has dealt with Crohn's and/or UC patients before. It is important for him or her to understand your medical needs (including c-section vs. vaginal delivery) while, at the same time, ensuring that you have a healthy pregnancy.
- Asacol (4 pills, 3x 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)
- Iron (2x per day)