I have a Kock Pouch and have had it for over 30 years. I have two children, both born through a vaginal birth. It took a while for me to conceive my second child, but I was in my 40s at the time. Toward the end of the pregnancy emptying the pouch would be a bit more difficult--it was not as easy to locate under the belly and the pressure on the pouch and stoma were not helpful, but I'm assuming women who do not have stomas have other type of issues of discomfort. I loved my pregnancies and never felt better. It's all good.