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Reply to "Is it terrible to have had a vaginal delivery with pouch?"

All women have the risk of future rectal sphincter weakness as they age if they have vaginal deliveries. This is multiplied if there are multiple vaginal deliveries. This does not change if you have a j-pouch. Vaginal deliveries before or after the j-pouch would pose the same risk.

Women who have a j-pouch are more affected by this risk because without a colon, the stool is more loose.

I had both my children before my j-pouch surgery. One was a c-section and the other a complicated vaginal delivery. Yes, I have concerns about my future continence, but I don't dwell on it because there is nothing I can do about it.

Jan Smiler
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