Hi there, anyone have vaginal birth who had perianal fistulizing Crohn's disease at the time? Dr. Switched out a seton that should have been left alone. I was given the 'go-ahead' for vaginal birth, but after switching the seton I started having lots of draining, and now drs are concerned that the perianal disease is active right now. They are concerned about the possibility if a rectal tear that may never heal, also, about tearing into fistula that has a seton, or also into old fistula tracts that had previously closed up. Also, that if an episiotomy is needed, it will have to cut through old fistula tracts and cause problems. Now some drs are talking cesarean, and my due date is a week away..... Any input or advice would be very helpful.