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Reply to "Jpouch and pregnancy"

Hi,

As I recall, my ob-gyn was OK with me taking flagyl and cipro during my pregnancy (I think cipro was only advised against during the first trimester). I also took amoxicillan (which I don't find to be quite as effective as cipro or flagyl for treating pouchitis, but it works OK in a pinch) which is commonly prescribed to pregnant women if necessary for all sorts of infections. 

 Below is a links to an article maintained by Motherisk at Sick Kids Hospital in Toronto that looks at the risks different antibiotics pose to the fetus:

http://www.motherisk.org/prof/...l.jsp?content_id=882

As my ob-gyn explained, there is always a risk in taking any medication, especially while pregnant; however, the risks of taking certain antibiotics while pregnant are very small in proportion to their potential benefit. A pregnant women left sick with untreated pouchitis poses its own, arguably more significant, risks.

Perhaps take the article above to your doctor to discuss your options?

My ob-gyn left it to me to determine whether I wanted to pursue a vaginal delivery or a c-section (although he recommended a c-section, he was comfortable with whichever way I decided to go as evidence shows there is no increased risk to baby of pursuing either option). In the end I decided upon the c-section as I wanted to avoid as much risk to my pouch as possible (there is evidence that pouchers who have c-sections experience less trouble with incontinence long term) and I didn't feel strongly about needing to experience another vaginal birth

I delivered as is typically done for c-section births -- it was scheduled one week before my due date (if I remember right it was at 39 weeks). I have to say a planned c-section is sort of lovely, especially as compared to what I've heard from friends who have had an emergency c-section: my husband and I woke up, read the paper, went in and were joking with nurses and then calmly walked into the delivery room -- 30 min later we had a baby! Recovery wasn't as easy as my previous vaginal birth recovery, but compared to jpouch surgery it was no big deal.

Hope that helps!

 

 

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