A stomal prolapse may develop but it will usually resolve after the pregnancy and will not require your doctor’s intervention. If you can manage your ostomy supplies, there is probably nothing to be alarmed. Higher progesterone levels may lead to enlargement of the uterus which in turn might create constipation. Peristomal hernias may originate as well. Wearing an ostomy belt during the pregnancy would help (a few sizes might be needed as the abdomen enlarges). After delivery, the hernia is likely to wane or disappear. navigate here
The stoma may widen due to uterine pressure. You will need to change to ostomy bags with a larger opening. The stoma may or may not return back to its original size after delivery. You may also have to deal with more frequent pouch changes. As the abdomen increases in size, it becomes increasingly difficult to see the stomal opening. Placing the skin barrier and the bag may require that you use a hand mirror or that you ask for help.
Colostomates who irrigate will have to go for drainable pouches during the last stages. Those with ostomies because of Crohn’s disease or ulcerative colitis might need extra precautions because of a slight chance of recurrence. Urostomates might experience stretching from the ureters or the ileal conduit causing mild incontinence, but when adequately watched, it can be managed effectively.