Experience with to early birth?

Congrats on your little one :-)  I am not sure what your OB is referring to, but I have definitely not heard anything like that in all the years I've been on this site.  Other than some extra pressure on the pouch, more frequent bathroom trips, and possible scar tissue discomfort, a pregnancy with a J-pouch shouldn't really differ from a woman with a colon.  A higher percentage of women will opt for C-sections with a j-pouch vs. a non-poucher, which may be what your OB is referring to.  If you choose a C-section, your OB might want you to deliver a few days early in order to avoid going into labor, but that's all I could think of.  Personally, we did deliver my guy 10 days early in order to facilitate an easier vaginal birth with less risk for tearing.

That is interesting.  Thank you for informing me. They recomend a c-section 2 weeks prior to avoid tearing. But I didn't know you could deliver naturally earlier. Sorry fir asking very bluntly, but did you tear? I really do not like the idea if a c-section.

My ileostomy scar is on the right, and I had terrible pains on the right side around 3-4 months or so (can't remember exact months; that was 14 years ago). What we believed it to be was scar tissue pulling. Eventually, once I got big enough, we believe it stretched enough and/or tore, and then the pain was gone. Your pouch is no where near your right lower ribs. Though there is often referred pain in certain conditions, it's doubtful the pain is from a squished pouch.

My surgeon recommended the c-section, which I had. He said we already have weaker sphincters, and that tearing and all of that pushing can weaken them more, leading to incontinence issues (and I'm completely continent; did not want to risk it). However there are women with pouches who have delivered naturally with little or no issue. It's a personal choice, I suppose, and each side has pros and cons.  Just educate yourself. Good luck!

LoveLife, as Rachel said, there are pros and cons to delivering both ways.  I didn't jump into the decision lightly to have a vaginal birth.  I had already had a baby pre-pouch with a very easy and successful delivery with minimal tearing (1 stitch).  Considering that genetics would indicate that our second baby would also be on the smaller side, we went forward with the plan for a vaginal birth with contingencies.  At 38.5 weeks we would do an ultrasound to measure the size of the baby and also see how dilated I was.  We decided if the baby was the same size or smaller than my first and I was at least 3 cm dilated, we would induce me early.  Everything looked good so we went for it.  He was a bit broader than my daughter so he caught me with his shoulders and I had a 2nd degree tear, which was just a few stitches and healed quickly (fyi...it goes from a 1st degree tear up to a 4th degree laceration, which is what would be disastrous for your sphincter muscles).   The other reason that I personally wanted to avoid a C-section is that I am very prone to scar tissue.  We didn't want to create more down there than I already had.  With all that said, if it were my first child and I hadn't been through it before, I would have gone the C-section route almost definitely.