Hi MWB I am six months pregnant and just wanted to let you know you are not alone in all your fears. I had my three step procedure in 2017, about four months after my take down felt well enough to attempt a few rounds of a medicated cycle but the hormones made me feel terrible and I decided to throw in the towel and was happily surprised to be pregnant a month later. I had three miscarriages prior to my surgery (two most likely from my UC going undiagnosed, the third while diagnosed and on Humira was chromosomal) and after my first operation to remove my colon I was rushed into emergency open surgery for severe internal bleeding because of how diseased my colon had been. All that is to say, the emergency procedure I went through as well as the miscarriages has created a lot of anxiety for me in pregnancy. Added to that, I really think feeling the normal tired, run down, aches and pains etc of pregnancy envokes a ptsd sort of anxiety for me because it subconsciously reminds me of all the years I spent sick, undiagnosed, and desperate. I did start taking Wellbutrin after my first trimester which has helped though I still have to remind myself that my pregnancy symptoms do not mean my body is failing me or my baby quite a bit.
Regarding the pouch, I have had a couple rounds of pouchitis but I was dealing with that before becoming pregnant so my pouch is not really behaving any worse than it was before pregnancy. I am starting to experience more frequency (bladder too) just from the baby’s growing size.
Regarding delivery, I share your fear of both options 😊 my ob has advocated for a vaginal birth because I had two uneventful vaginal deliveries of large babies prior to all this. However, she has said she is willing to go c-section if that is my decision. There are pros and cons to both so I continue to mull it over and hope the answer will come to me in the next couple of months. If you have never given birth before I believe the general consensus is a c-section since you do not know how your body would handle labor but your OB should be able to discuss that more.