PREGNANCY-BIRTH Messages for March, 2002: Re: Ulcerative Colitis/ Pregnancy; Thank you Dr. Shanahan for your repsonse & 1 more question...

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

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 24 Mar 2002 09:59:22 -0600 (CST)

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In reply to: Julie: "Re: Ulcerative Colitis/ Pregnancy; Thank you Dr. Shanahan for your repsonse & 1 more question..."

At Sat, 23 Mar 2002, Julie wrote: >
>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***
>>

Julie

RV fistula is a connection between the rectum and vagina. It can accompany disease processes like crohns

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: endometriosis and ovulation"
Previous message: William F. von Almen, II, MD, FACOG: "Re: post partum pelvic pain"
In reply to: Julie: "Re: Ulcerative Colitis/ Pregnancy; Thank you Dr. Shanahan for your repsonse & 1 more question..."

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