Pregnancy & UC ?

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SRMc
New Member


Date Joined Sep 2008
Total Posts : 1
   Posted 9/10/2008 8:26 AM (GMT -6)   
I was diagnosed with Ulcerative Proctitis 3 years ago. My symptoms are pretty mild, and if I follow my Dr.s instructions I can keep it under control. My husband and I are thinking of trying for a baby, and I'm pretty worried about how my body will react to pregnancy. My GI dr said we need to speak to him before we really start trying b/c he will need to come up with a medication plan for the pregnancy. I'm also extremely worried about having a natural childbirth. Many of my friends have had babies recently, and I've heard all the horror strories about how labor ripped them, caused so much pressure in their "rectal area" and I worry about how hard it will be to heal from that, since that is the problem area for me. I would much rather have a C-section. Has anyone else had to deal with this?
Thanks

shannon1
Regular Member


Date Joined Feb 2005
Total Posts : 369
   Posted 9/10/2008 3:51 PM (GMT -6)   
Hi, i think it sounds like your doctor is being very proactive. Your OB and your GI should work together to decide your med plan. What meds do u take right now? Most (not all) of the UC meds are ok during pg.

Don't worry to much right now about birthing a child. MANY women w/ UC deliver vaginally with no problems. I had two c-sections (medically indicated,not elected) and wish that i had been able to deliver vaginally. csections are MAJOR surgery and require ALOT more healing than vaginal births do. I can tell you, that my OB was terrified to NIC my bowels during the section due to inflamation! I would have paid a million bucks to have a natural birth. So, give it some time, educate yourself, talk to others and your doctors, and you will make the decision that is right for you. Good luck
2003, dx moderate UC
2000, dx selective IGA deficiency w/ anti IGA antibodies
2000, dx Antipholipid Antibody Syndrome
1999-current, chronic hemmoragic ovarian cysts, w/ partial ovary removal
1977, complete reconstruction of foot after lawnmower accident (chronic pain)
 
Meds
6mp 75mg, prednisone 40mg (just starting meds again)
percocet 5mg 3x day
potassium 3x day
 


lawclerk
New Member


Date Joined Sep 2008
Total Posts : 5
   Posted 9/10/2008 8:40 PM (GMT -6)   
My friend said her UC went away and never came back after getting pregnant. you might be worrying for nothing.
UC 98
1 - 2gm Sulfasalazine per day (even during remission)


daniella510
Regular Member


Date Joined Apr 2008
Total Posts : 48
   Posted 9/11/2008 11:26 AM (GMT -6)   
I am going through a similar situation right now myself.  For a few months now I have been meeting with doctors about the safest course of action. The biggest piece of advice I have gotten is to go into a pregnancy HEALTHY.  You have a better chance of staying that way if you start out with it.  The other big suggestions that I am following through on were to speak with a high-risk obgyn and also I am going to get a sig. scope before we really start to try, just to make sure there's no inflammation and also to serve as a base-line in case something does come up. 
 
Though each one of us is different in our cases I have had two obgyns tell me that more often than not they see their UC patients stay healthy or even slightly improve through pregnancy.  Something about the level of progensterone your body makes helps you?  I know it's not written in stone but for me it put my mind at ease a bit to hear that. 
 
Best of luck - I would just say to be sure you talk to both your GI and OBGYN! 
Danielle  26/F
Dx: Pancolitis for 12 years
Meds: Asacol (400mg x12 daily)
         Prenatal vitamins + extra calcium supp.
         Fish Oil
         Culturelle x2 daily


hekela
Veteran Member


Date Joined Nov 2006
Total Posts : 731
   Posted 9/11/2008 8:00 PM (GMT -6)   
pregnancy can take a toll on even the healthiest woman. it is no small ordeal to be carrying a little person, and the same goes for the way the person comes out. just like shannon1 said, having a c-sec is major surgery.

i've had 2 natural births (just had my 2nd one on the 9th!) and both left me with hemorrhoids, but no major trauma to my colon. you definitely need time to lay around and heal, but that goes for anyone after childbirth! when you're pushing, all of the pressure is right there in your bottom so that is where you'll feel "bruised" when you're healing. but healing from a c-sec will have its own set of issues and pains.

anyway, no matter your choice for the delivery, you'll definitely want to stay focused on keeping yourself healthy and finding out ahead of time what meds you'll need to stay on to make that happen.

the only way you'll know how your body will react to pregnancy is to get pregnant. everyone is different. my UC was very stable the whole time and i am so thankful. but i know that some women do flare while pregnant. so you just have to be prepared and pray for the best.
29, happily married, stay at home mom to 2.5 year old son. due to have another boy 9/17/08
UC (probably pancolitis, but no c-scope yet), diagnosed June 2006, started having major symptoms sometime in January 2006, about 3 months after childbirth. 2nd flare (minor) may 2007 after taking caprylic acid for 2 weeks.

-Prednisone 8/28/06-2/28/07. and again may '07, 8 week course.
-Prayer! asacol, probio, ground psyllium husk, prenatal, folic acid, cal-mag

may you live all the days of your life.


Scrap Girl
Veteran Member


Date Joined Jan 2007
Total Posts : 653
   Posted 9/11/2008 10:11 PM (GMT -6)   
Unfortunately, I got my first flare when I was pregnant with number three and ended up miscarrying and then got my second flare when I got pregnant with number four. I flared almost immediately. I was put on prednisone and was able to carry my son to term and he's fine today. Hopefully, if you get pregnant you will not flare but if you do start having problems see your OB and GI quickly to get on the proper medication.
 
When I was delievering my first son (pre-UC) I had a fourth degree tear. I could barely walk for a couple of months. Four months after my son was born, I had to go in for out-patient surgery to have the whole tear sewn up again because it had gotten infected and never healed correctly. Good times! I don't think I had a good doctor and that makes all the difference in the world. So when I got pregnant again I switched doctors and my new doctor gave me the option of having a c-section because he said I might tear again and there was a chance it would never heal, leaving me incontinent. Needless, to say I opted for the c-section for my last two and was glad I did. Yes, there was some pain at the incision site but for me it was 100 times better than what I went through with my vaginal delivery.
 
 
 
Diagnosed with UC in Feb. 2005
 
Colazal (9 a day)
Folic Acid
Biotin
Calcium
Remicade


jenjim
Regular Member


Date Joined Apr 2008
Total Posts : 55
   Posted 9/11/2008 11:07 PM (GMT -6)   
I also have ulcerative proctitis. I got pregnant (via IVF) five years after the dx. I was on 5mg Pred & 150mg Imuran throughout the pregnancy to keep things from starting up. I had not had too many bad flares before, but we wanted to be really careful with the GI disease! My son was born at 35 weeks gestation (they didn't think his being early had anything to do with the drugs). Even though he was early he was totally fine. He will be 5 next week. He was born vaginally. It was the coolest experience in my life! If it weren't for needing to do IVF, which isn't covered by insurnace, and my husband being several years older than me, we would do it again. I did get gestational diabetes, but I didn't have to take insulin, I just had to test my blood twice a day. The perinatologist said I was really borderline, and I wouldn't be considered diabetic on some scales. It was all so worth it!! I also have an adopted son, and we are all set. Try not to let this disease get the best of you, just make informed decisions and you'll be OK! I wish you the best.

jenjim
37 year old diagnosed in 1998 with ulcerative proctitis

lemonhead
Veteran Member


Date Joined Dec 2007
Total Posts : 1028
   Posted 9/12/2008 6:46 AM (GMT -6)   
I had 2 babies with UC> One vaginal, on c-section. ONe pregnacy put me into a horrible flare, one put me into remission. If you do flare, there are things they can do for you. My Gi put me on a low dose of prednisone (20mg) for a week and tapered that 5 mg every week, and that was enough. He and my ob agreed that amount of steroid was a drop in the bucket compared to what your body was already making. But, you may have no problems at all. As for the c-section vs vaginal birth, your ob should be able to quess how big the baby is going to be and be able to advise you. The vaginal delivery was much easier to recover from. If you are worried talk to your OB, a lot of them are scheduling c-sections now. Good luck and I hope everything goes well for you
diagnosed with left-sided UC in 1997. (45cm)
Currently on 10mg Prednisone
12 caps of colazal    9 caps Colazal
2 rowasa enemas nightly
35, female

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