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Reply to "Jpouch and pregnancy"

Hi there, Congratulations on your pregnancies! I just wanted to chime in as I have had a j-pouch for 14 years and had a baby a year ago. My doctor considered me higher risk, but my prenatal visits were pretty much the same as a low-risk patient. I did meet with a maternal fetal specialist, who consulted with a colorectal surgeon, and the whole team agreed that the best course of action would be to try for a vaginal delivery. A c-section is another surgery with additional risks, and given that I already have plenty of scar tissue in the area, they didn't want to have to open me up again. (Worth noting that I hope to have several more kids, so we were also considering the fact that it would be several more abdominal surgeries, not just the one, if we went the c-section route.) Long story short, I was able to deliver my son vaginally with no complications or effects on the pouch. It is my understanding that in and of itself, a j-pouch does not have to mean that you should have a c-section (though there are plenty of other pouch-related factors that could steer you in that direction). I think the doctors and hospital you deliver at play a huge role in determining which way you go, and I was at one that works very hard to avoid unnecessary c-sections.

Happy to chat with anyone who is considering a vaginal delivery and share the resources I found while I was considering it myself. I was definitely very nervous about messing anything up pouch-wise, but believed that my best option was to at least try for a vaginal delivery. Good luck!

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