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Hi ladies! 

I am 33 weeks with my 3rd pregnancy (all post-jpouch) and am getting extreme urgency whenever I have Braxton Hicks....and I've been having them a lot. From regular pregnancy forums it seems that they can increase BMs....have you found that urgency and contractions or Braxton Hicks have been related?

Thanks!

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I've had two successful vaginal deliveries post pouch. I plan for the same this time as well. From what I understand, due to tearing and the pelvic floor trauma from delivery, some women choose to go for a caesarean. I have found at nights, if I have pouchitis, I may have an accident here and there since giving birth. I didn't tear much with my first and not at all with my second, but I'm assuming that if I did tear I would have even more accidents....so it really depends on your preference that way and it's s but if a chance thing. I did see a high risk ob with my first just to ensure that if something did go badly, I'd be in the same building as a GI and surgeon...as I wasn't sure how my pouch would do with all that added pressure. My second pregnancy I saw a regular ob and with this one I have a midwife (but still choose to deliver at a hospital just to be safe)!

It is scary...because you are kind of playing the odds. I loved going natural....I think it's healthier for the babies but it is more a risk to you/your output. I'm glad I was able to labour in the bath/shower which I think helped things stretch (and it is party genetics/how you're built too). I was induced at 40 weeks just to ensure that baby didn't get too big (my kids were 8.6 and 8.4). Caesareans are tougher to recover from but scar tissue is an issue but then chances of having post partum accidents goes waaaay down. I remember it being a really tough decision for me too. All the best! 

I was 100% on board with a C section until my high risk OB (that specializes in UC/ j pouches) said that the decision is more fear based than evidence based. Now I'm really torn because ultimately it's my decision. I've been told for a vain all delivery I would have a transverse episiotomy (to prevent tearing) and have a GI surgeon, and anesthesiologist present to make the switch if there was a risk of needing to switch immediately to a C section. The decision seems so hard to make and it's mine to make. 

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