Pregnancy and IBD
Moderator: talkhealth
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- Posts: 1
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Pregnancy and IBD
Im currently 35 weeks pregnant and have a diagnosis of Crohns Colitis. Ive been very well throughout my pregnancy and ive been able to reduce and cease taking all my immunosuppressant medication. Otherwise Ive had no complications of flare ups of my condition for the last 8 months.
Ive had operations in the last two years for abscesses and fistulas and currently have significant perianal scarring. As I approach birth Im becoming increasingly worried about having a natural birth as Im afraid if I have any complications I may become faecally incontinent due to a vaginal delivery? I would appreciate any advice or areas I could address with my midwife or consultant regarding this? Im due to see my IBD consultant in 3 weeks.
Ive had operations in the last two years for abscesses and fistulas and currently have significant perianal scarring. As I approach birth Im becoming increasingly worried about having a natural birth as Im afraid if I have any complications I may become faecally incontinent due to a vaginal delivery? I would appreciate any advice or areas I could address with my midwife or consultant regarding this? Im due to see my IBD consultant in 3 weeks.
- Dr Amanda Tristram
- Posts: 21
- Joined: Tue Mar 05, 2013 11:53 am
Re: Pregnancy and IBD
Being worried about faecal incontinence in this situation is very understandable. It is certainly worth talking to both your midwife and consultant about this. What you want to know is what are the risks of having a normal birth compared to the risks of having a Caesarean section. Obviously this will be different for everyone. If you have had previous abdominal surgery, then the risks for the Caesarean section will be increased. I think it will be difficult for you doctor to give you and exact risk of either, but it will probably be very helpful to discuss it with them.
Dr Amanda Tristram
Senior Lecturer in Gynaecological Oncology
Senior Lecturer in Gynaecological Oncology
- Mr. Hugh Byrne, MRCOG
- Posts: 186
- Joined: Fri Mar 16, 2012 12:21 pm
Re: Pregnancy and IBD
To be frank, with your history of perianal complications, I would opt for an elective caesarean section. While most women's tears are small, you are not 'most women'.
Mr Hugh Byrne
Consultant in Obstetrics and Gynaecology
St Georges Hospital
http://www.talkhealthpartnership.com/online_clinics/experts/mr_hugh_byrne.php
Consultant in Obstetrics and Gynaecology
St Georges Hospital
http://www.talkhealthpartnership.com/online_clinics/experts/mr_hugh_byrne.php