hi pasobuff....thanks for the info..my gyn recommended natural birth as the fistula is already that advanced and said it needs surgery after i had my baby.....told me to have epidural so i wont feel any pain....there also doing tests when gave birth as they suspect more fistulas internally but cant check whilst pregnant....my Crohn's has flared up yet again, im sure it due to these fistulas and the stress im feeling at the moment, just hope it doesnt affect my baby....so fed up! becky. x