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Ulcerative colitis and pregnancy

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Ulcerative Colitis
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Posted 7/2/2016 3:48 AM (GMT 0)
I am currently 6 weeks pregnant and am wondering if anyone has any advise for us future moms dealing with Colitis. I take apriso every day and my last flare was in February but it was very minor and was controlled by apriso and Canasa. I seem to have small flares whenever I get a cold. Any information would be helpful. Would like to know if anyone breast fed on apriso or had any pre turn deliveries or miscarriages. Thank you
Posted 7/2/2016 11:12 AM (GMT 0)
Congrats.

As far as the medications go, Apriso is pretty safe for pregnancy and nursing. It's an anti-inflammatory medication and it's 90 percent topical. about 10 percent of Apriso does get into the bloodstream and from there components into the milk. Some moms have uneventful pregnancies, others flare during pregnancy or postpartum likely influenced by hormonal changes.

I'm just a dumb guy and perhaps not the best reference on this subject haha, so I'll leave it at that. There's a number of uc moms here who've had healthy babies and they can tell you more. Here's some resources on uc and pregnancy:

From conception to delivery: Managing the pregnant inflammatory bowel disease patient
www.ncbi.nlm.nih.gov/pmc/articles/PMC3974516/

The Second European Evidenced-Based Consensus on Reproduction and Pregnancy in Inflammatory Bowel Disease
ecco-jcc.oxfordjournals.org/content/eccojc/9/2/107.full.pdf
Posted 7/4/2016 4:22 PM (GMT 0)
Hi! And congrats!!

I had my first symptoms during my first pregnancy. I was diagnosed right after.

I was much more knowledgable during my second pregnancy. Doctors say flares can happen in the rule of thirds. A third stay the same. A third get better. A third get worse. You won't really know. But if you start to have symptoms stay on top of them. Apriso is completely safe to take during pregnancy and breastfeeding. My advice is to stay on your meds.

I was on Lialda and rowasa during my second. I unfortunately flared and ultimately had to start remicade in my third trimester because steroids were not working. I was in remission by the third loading dose. And it's completely safe to breast feed on.

I have 2 very happy insanely smart healthy baby boys. My second came 2 weeks early with no complications. My water broke as it did with the first. I had 2 c sections that were not related to uc. I healed completely fine. I breast fed my second for 6 months on remicade and Lialda.

I wish you a very uneventful pregnancy. And please reach out if you have any questions. From what my GI told me most of his patients do great during pregnancy. The disease for me is a little unique and stubborn. Hugs.
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