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

I just went to see my GI this past week as I am 16 weeks pregnant and wondering the same thing. He was so knowledgable and said that while they used to advise women with a J-pouch to have a c-section it is less risky and better for everyone to have a vaginal delivery. He said that 30 years ago, csections were recommended because of this loss of control concern but they have done trials and studies since then and the risk is so so minor. He also mentioned that due to the scar tissue that we have, he would only recommend a c-section in a case where it would be the last option.

He is putting me in contact with a high risk OB just in case in a nearby city, but says that it should be no issue to meet with a regular OB. In our town, women don't meet with their OB until 30 weeks and he sent a requisition to my Dr. to have me meet my OB before then. He also said that once I do deliver he'll give me an endoscopy once I'm up to it to ensure that the pouch hasn't been damaged at all.

I think it also makes a difference that my surgery was 7 years ago and I am very healthy now - no pouchitis at all since then! I have tiny amounts of blood here and there (maybe one stool a month) and he was not concerned about me at all in that regard.

He also mentioned that he was really surprised that we were able to get pregnant because of the scar tissue that can occur in the ovaries/tubes. He said he normally recommends women just start trying IVF if they want to start a family. It took my husband and I 11 months to conceive our miracle and I am very regular.

I'd love to compare notes with you more about how your pregnancy is going. It'd be great to talk to another preggo woman who's going through exactly what I am!

All the best!!
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