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Q:

I am suffering from Ankolysing Spondilytis Arthritis and I  am 7 months pregnant..just wanted to know my delivery will be c-section or normal?



Sheeba Vijesh

Dr.Shilpitha Shanthappa

Dr. Shilpitha Shanthappa

Hello...
If you have ankolysing spodilitis, you have about an equal chance of having your disease improve, worsen or stay the same during the course of your pregnancy.. Spinal inflammation or fusion may make it difficult or inadvisable for a doctor to perform an epidural, a procedure in which pain medication is injected between the vertebrae directly into the outer layer of the spinal canal,  it is the most common form of pain control used in both vaginal and Cesearan births. if you have severe spinal involvement should discuss alternative pain-relief methods with doctor before delivery. If a C-section is a necessity – as it often is in women with ankylosing spondylitis – you may need to have general anesthesia.. Any form of arthritis that involves the hips may make vaginal delivery difficult.. The biggest problem is that you have to be able to spread your legs fairly wide. A baby is a pretty big package to get through there.  For that reason, women with arthritis – even if their disease is inactive and their pregnancy uncomplicated – may be more likely to deliver by C-section..

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