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IBD flare-up during pregnancy

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Posted 6/25/2008 2:13 PM (GMT 0)
IBD flare-up during pregnancy raises preterm delivery risk
http://www.reuters.com/article/healthNews/idUSKUA66984520080616
Posted 6/25/2008 2:21 PM (GMT 0)
I wonder how many women who were in remission before getting pregnant flare-up during pregnancy.
Posted 6/25/2008 4:25 PM (GMT 0)
Supposedly, for most women if you are in remission when you get pregnant you are likely to stay that way, and if you are flaring you are likely to continue flaring and even get worse.
Posted 6/25/2008 4:39 PM (GMT 0)
I was in remission before I got pregnant and was fine until the third month and then starting flaring. I am six months now and have been flaring steadily since. It's not a really bad flare up but a nuisance nonetheless. My family doctor, OBGYN, and Gastro all tell me that I am having a healthy preganancy and the baby is doing just fine. I am hopeful that is the way it will continue and hope everything turns out fine in the end. As for the stats of women flaring during pregnancy, the rule of thumb tends to be a 1/3 stay the same, 1/3 get worse, and a 1/3 actually get better....some of us are just lucky and become that 1/3 that get worse! The important thing to note is making sure you are in remission when actually getting pregnant.
Posted 6/25/2008 4:52 PM (GMT 0)
I learned at a seminar the rule of 1/3 as well.

They say that during pregnancy 1/3 of women flare, 1/3 get better, and 1/3 stay the same.

There was also a theory about the genetics involved. She said that if the baby is genetically like you, you are more likely to flare. But if the baby is genetically more like it's father than your body will see it as a foriegn entity and protect your body and you won't flare. This was a theory. Not sure if I believe it but it is an interesting idea.
Posted 6/28/2008 9:02 PM (GMT 0)
thanks for the article! It is important for women w/ IBD to take pregnancy and flares very seriously. I delivered both babies premature. First one delivered at 33wks, when i was in the throws of my first ever UC flare, that was undiagnosed at the time. Second child delivered at 34wks, flare began at conception after over a yr of remission.

side note, i do also have other maternal illness, so it was not determined for sure that the flare caused the preterm births.
Posted 6/29/2008 1:00 AM (GMT 0)
I'm 3 months pregnant right now and have been flaring the whole time. Actually, the only time I haven't been flaring since I was diagnosed in Feb of 2006, was during one of my prednisone treatments. I was on Imuran up until I found out I was pregnant, but stopped taking it on the advice of my baby doc. Switched back from Sulfasalazine to Asacol also. I've pretty much given up hope of ever going into remission at this point, and I worry about the effect all this is going to have on my baby. But what can I do? I'm trying to stay positive!
Posted 6/29/2008 3:02 AM (GMT 0)
I'm currently 3 months pg. I'm hoping that I fall into the category of the 1/3 of women that get better. So far my UC has stayed the same or maybe has slightly improved. Fingers crossed! When I told my OB about my UC she didn't seem concerned at all, she said it didn't put me at a higher risk category so that made me feel a lot better.

Dreamland - when are you due? I'm due 1/16/09
Posted 6/29/2008 5:16 AM (GMT 0)
I'm due Dec 27th. It's been a difficult pregnancy for the most part, (gestational diabetes and a subchorionic tear, spotting) but now that i'm into my second trimester, things are looking up! How is your pregnancy going for you? Is this your first? This is my fourth!
Posted 6/29/2008 1:34 PM (GMT 0)
This is my 2nd pregnancy. I had morning sickness that has thankfully lessened in the last week. I have found that I have been a lot less paranoid this time around, even with UC, which has been nice. You have gone through so much already - I hope you feel better soon!
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