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Re: Ulcerative Colitis/ Pregnancy; Thank you Dr. Shanahan for your repsonse & 1 more question...

From: Julie (anonymous@obgyn.net)
Sat, 23 Mar 2002 21:37:01 -0600 (CST)


What is a rectovaginal fistula?

Thanks again, to you and all of the wonderful Dr.'s that take time to address questions on this board!

At Sat, 23 Mar 2002, M. Kelly Shanahan, MD, FACOG wrote: >
>At Fri, 22 Mar 2002, Julie wrote:
>>
>>HI there,
>>I am a 38 year old woman (only 38 as of 2 days ago!)and 9 weeks pg. I
>>have UC and am on maintenance therapy with mesalamine suppositories
>>(500mg 2 x per day).
>>My Dr. told me that the risk of mesalamine in pg is very small to none,
>>while the risk of active UC is very high.
>
>mesalamine is considered safe to use in pregnancy
>
> My question is
>>this...sometimes I still do suffer mild inflamation and a little rectal
>>bleeding (even while I am on the medication). Is this dangerous to my
>>baby?
>
>probably not
>
> Also, would there be some reason I might not be able to deliver
>>vaginally due to this condition?
>
>unless you have a rectovaginal fistula, you should be able to deliver
>vaginally (barring any obstetric indication for a c/section like breech
>or fetal distress)

>M. Kelly Shanahan, MD, FACOG
>S. Lake Tahoe, CA
>author of "Your Over-35 Week-by-Week Pregnancy Guide"

>**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
>***private e-mails WILL NOT be answered***
>




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