July 2016 Moms

Chronic health issues and pregnancy

jomama1618jomama1618 member
edited March 2016 in July 2016 Moms
I know some of this is covered in the high risk post, but I also know not all chronic illnesses/issues fall in the high risk catagory. I know there are a few other epilepsy moms on here, but just wanted to check in with all others (as well) that have chronic issues. How has it affected your pregnancy? Have you had to change meds/alternative therapies since being pregnant? What about breastfeeding  (if you choose) will that be affected? Any tips/tricks you've found to give some comfort? Sorry for a million questions. As someone with multiple health issues, these questions/concerns/every changing approaches are something that come up constantly (along with people constantly being overly worried and over reacting/jumping to conclusions over everything. I know they mean well). I was just interested in seeing how other ladies are holding up and your experiences so far.
(Hadn't seen anything like this posted when I searched. If there was one, and I missed it sorry, gif party it up)

I've had to stop a lot of my meds, and work on alternative therapies/dealing with some of it. Some things we are being forced to slowly face/deal with more as pregnancy progresses (maybe I was in denial about having to deal with some of it). Still no grand mals, so super excited for that! Can't say as much for the other types. Lots of the other things (narcolepsy, eds, chiari, gastroparesis, spine issues etc) are proving challenging, and having a hard time finding the right course of action for now, but they aren't winning :wink: and I have great drs that listen and work with me.  But I feel blessed, regardless of all of it, because (so far) I'm not having most the issues/things I was told would/could happen and my little man is healthy and growing! 

Edit words are hard
«1

Re: Chronic health issues and pregnancy

  • Loading the player...
  • @noelietrex did your midwife mention anything to you about fistulas? My MFM said that he usually suggests c section to women with UC because of the risk of fistulas. I haven't researched this yet. I've been the opposite of you. My doctor wanted to keep me on my meds because my UC keeps trying to flare more after getting pregnant.
  • I have epilepsy. I am still on my medication- my neurologist chose the medication I was on with the lowest risk to bub back when I started the medication. The medication I am on carries a slightly higher risk of cleft pallet, but the risk of seizures for me was too big to risk going off the medication. I did try to wean myself off one of them (I'm on 2, which isn't ideal) just before I fell pregnant last time but started having seizures again.

    I am having a bit of an issue because I got a new neurologist (my old neurologist moved away so I had to get a new one) and he doesn't agree that I have epilepsy. I've never had a positive eeg, and he wants me to have another one when I am 30 weeks pregnant to see if the pregnancy is changing my brain patterns. He is trying to make me come off of my medication now, which I'm not comfortable with. I'm choosing to ignore him and follow the advice of my old neurologist. I am also contemplating refusing the eeg, just in case the strobe lights make me have a seizure. I am assuming if I do have one, they would immediately revoke my drivers licence which would completely screw me.

    From my research (I forgot to ask the neuro about it) I should be able to breast feed. Bubs is already used to the medication and it would probably be worse for him to go cold turkey after having had it the whole pregnancy. I've read some scientific articles about it, and it seems the particular medication I am on doesn't affect him- some of them have shown to reduce the babies IQ's. I am just going to continue under the assumption that I am breast feeding until someone tells me otherwise.

    @weville I am also concerned about labour. My triggers are hunger, pain and tiredness. DH has already said the moment I look funny in labour he is demanding I have a C-section. It's completely understandable, seeing as he would be watching me have a seizure and possibly harming Bean if I chose to continue with labour and had a seizure. That is why my birth plan is going to be take it as it comes. I am not ruling anything out. My plan is to have a labour with no pain meds but I will alter it if any of the circumstances change.

    Little boy due July 31st 2016

  • @LilLambie There is no way in hell I would stop taking the drugs cold turkey (weaning off them while not pregnant was rough enough) or have an EEG. My neuro that diagnosed my epilepsy when I was 21 said that 100% confirmation with an EEG is not super common as the electrodes cannot measure all your brainwaves, just where they are placed. Is it possible to look for a different neurologist as a replacement?
  • @avanderl I'm using a birthing center where medical intervention and C-sections aren't an option. If my UC were to flare or require medication I'd be transferred to the backup OB. My midwife hasn't mentioned anything about fistulas being an issue so far, but I will definitely add it to my list of questions surrounding the birth. From what I'm reading online it sounds like the leading cause of obstetric fistulae in the US (or other developed countries) is the use of episiotomy and forceps, and in less developed countries they can develop as a result of very long labors where C-sections aren't available. I'll definitely talk to my midwife about what we should consider an acceptable length of time to labor with UC if it's an increased risk. Thanks for the heads up! And let me know if you are told anything else about UC and pregnancy specifically! Also idk if you've tried any alternative practices to help with your flares, and I swear I'm not a total nut and didn't believe in this stuff before I did it, but acupuncture really helped me get my UC under control. I think my flares were stress related and that's why it worked, but honestly whatever works! Good luck to you! Hope you're able to find some relief. I can't imagine having major flares with the rest of this discomfort- extra creepy {{HUGS}} to you!
  • @Weville I'm super jealous of you being able to be off the meds! Since mine weren't fully controlled (only the tonic clonics, not the absence/myoclonic etc) they weren't thrilled with no meds. I did stop the other AED meds (along with others) and my last AED is a super low dose (I was 7 weeks 1 day when it was ultrasound confirmed. We had been ttc for 9 years, but after being told IVF was our only option, all precautions taken normally, like changing/coming off meds, during ttc went out the window. He is my miracle for sure!) Definitely feel you on the headaches. I've been finding more and more research showing that there are a handful of AEDs that are only found in trace amounts in breast milk. So I'm interested to learn my drs takes on those. Pain is definitely a trigger for me as well, so that has been a concern since the beginning. Since an epidural isn't an option (medically speaking, not just me being stubborn) as of now (we are keeping it open to circumstances) they are talking about wanting to try something like numbing shots (yup, in my lady bits lol) to help with him actually coming out, and IV pain meds on hand, as needed. Last time was ourfirst discussion about it, so I'm sure it will end up more in depth than that. As for the rest of my birth plan (something I was curious about as well) it's mostly just keeping things as natural, calm and unhindered as possible. (Don't want any excess interference stressing me out. Stress is another trigger.) I should have access to a tub/shower to have water to help calm me, music, and walking among other things.
  • @weville I basically just nodded and pretended I agreed with him. I just couldn't believe him when he started saying I didn't even have epilepsy. I stopped taking his opinion seriously from that moment.

    It's just hard because my epilepsy is genetic, and we all have exactly the same kind so I know it is epilepsy. None of us show up on EEG's and all of us started by having weird seizures (like drop seizures and Dejavu seizures) before progressing on to grand mal's. I've never had a grand mal, but I think that's because I got put on meds earlier then the rest. They thought my mum's sister was faking it until she had a grand mal in the bath and nearly drowned.

    I'm a bit worried about finding another neuro due to the medical system in Australia. I am going through the public system, which means you just get given a doctor. If I chose to go privately, I will have to pay for it. I'm also unsure what a new neuro will do. I have been diagnosed and I'm on medication that controls it. Up until this point all of my neuro appointments were them just checking I hadn't had a seizure and updating my driver's licence which I'm pretty sure my gp can do.

    Little boy due July 31st 2016

  • WevilleWeville member
    edited March 2016
    @joberkiser I am lucky I can be off them. I primarily have partial complex seizures and have a pretty solid aura so I can normally keep myself pretty in control. I do feel a little bit like a land mine so I am looking forward to going back on them after this pregnancy (something I never thought I would say). My anti-seizure medication also works for migraine suppression so I miss it a lot (my epilepsy is from a head injury when I was a kid). My migraine wafers were a strict no with pregnancy or breast feeding so I'll be roughing it without those as long as I can. Today at my appointment my doctor gave me a stern don't push yourself too hard lecture, even if I'm feeling like I have the energy or whatnot because if I get too tired or hungry I'm putting us both at risk. She was very caring in it but now my husband is hovering too much, haha

    I've got to tell you numbing needles seem way more terrifying then an epidural!
  • @noelietrex my TMI is I am on the same page as your TMI body wise :joy:  And thank you for jumping in! I actually have Crohn's, so it's nice to be able to have another mom with issues so close, going through the same thing. I've had the same GI for a few years now, and love that he is always open to alternative therapies. He's been a great support and much like your midwife said as long as I avoid known triggers and don't be crazy (like ghost peppers lol) we should be good. But reminded me it's only a phone call away if I am questionin anything or need something. We're you able to feel LO move earlier than expected? (I was told any time between 18-24 weeks, I was 16.5 weeks) I did and was told since I was so used to the feelings my intestines make with gas/swelling etc that I was hyper aware of any movement that wasn't my norm (I've been fighting my GI issues since birth). I was wondering if anyone else had that. Hugs back to you and thank you for the encouraging words! It has been a (scary but) very positive pregnancy. And I'm glad to see yours is going smoothly as well!
  • @LilLambie I do most of that stuff with my GP (in Canada). I rarely go to my neuro anymore, just check ins every so often. It's too bad you can't just request another opinion without having to go private. 
  • @Weville You are super lucky! Mine are genetic (x chromosome inherited. There are more than 7 of us I can think of right off hand. My mom included). My tonic clonics usually have an aura of an autonomic seizure (usually in the form of sudden random projectile vomiting very shortly before seizing) but none of my other types have an aura. 
    I get that stern talk every time we go! (Meaning I will get one tomorrow lol) And DH and my Mom are just like your DH, and have been for 6 months :wink: 

    And ya, those needles are terrifying me! But I am not allowed to have an epidural (between spine/disc issues and Chiari leaving my cerebellum/brain stem herniated into my spinal canal, it could be dangerous to attempt one.) So, unless the anesthesiologist comes up with a better plan, this seems to be safest (even if it's scary as hell lol) as of now. 
  • @noelietrex What you said about the episiotomy and forceps being the cause of fistulas makes a lot of sense. I'm seein the MFM because LO has gastroschisis and I was asking if that would require a c section. I was not expecting him to say that he would suggest is because of my UC. he did say it was completely my choice though so I'm not thinking I'm going to go that way. I was just wondering if you had been given similar information. I have been able to keep everything pretty well under control with my meds. I just have to watch what I eat a little more while pregnant and , yes, be careful with stress  (crocheting helps). Unfortunately I don't have a lot of options in my area for things like acupuncture, but I totally would try that if I could!
  • @joberkiser I felt LO at 16 weeks. I  had been told that I probably wouldn't feel her until 18. I think you're right that IBD makes you more aware of what's going on in that area.
  • You are absolutely welcome! @Lindsayleigh1989 Many of us struggle with pain issues (this stupid spine/hip & sciatic pain and my epilepsy are the main reasons I started this discussion) so come and get all the support you need! I knew there was probably a bunch of us mommas, with lots of varied issues lurking behind all our normal posts, and just wanted us to have a place to vent it/get/give support.
  • My chronic health issues are not as serious as those mentioned here, but I have hypothyroidism and chronic migraines (10-17 a month). The thyroid has not been a big deal so far, it is controlled with medicine just little tweaks.  The first trimester I did not gave a single migraine and it was a gosh darn miracle! It us the longest I have gone without a migraine since I was 18. I was ready to be pregnant forever if it lasted. But with the second trimester they have come back. I can only treat with Tylenol so they are lasting 24-30 hours each, 1-2 days a week.  I just cope as best I can with Tylenol, a dark room and some meditation.
  • I'm also a Crohn's disease Mama, but have found pregnancy to be an absolute dream. I was in complete remission within 6 weeks of getting preggers and am able to eat and digest like a normal person for the first time in over 15 years. It's honestly been a revelation. I'll never take a working digestive system for granted ever again.

    I stopped taking my weekly biological injection (Humira) early on, but not because I was advised to. I had to move across the world to be with DH and won't be covered for any Crohn's issues for my first year here... (pre-existing condition waiting period).  So I started stock piling the Humira for when I really need it later (GI says it might hit like a tonne of bricks post natal). The injections are approx $800 per week if you had to pay cash... So yeah, decided whilst I'm in remission to stock pile what the Irish government used to provide me free of charge and be as cautious as possible with diet and stress whilst growing this little baby. 

    So far so good, but with Inflammatory Bowel Diseases of all kinds (Crohn's and UC), you also learn to expect the unexpected. Crossing all my fingers and toes that I remain in remission at least until July 3rd, when I'm due.

    Kudos to all chronic condition Mamas and all you have to sacrifice to make lovely babies!
  • Does anyone feel a bit guilty/concerned about passing genetic conditions on to their kids, by the way?

    I've struggled a bit with this but have come up with two things which make me feel slightly better about it:

    1) The father's genes may hopefully reduce the risk of the baby getting my chronic condition;

    2) Babies can get any number of different conditions - from mild to severe. Perhaps it's a case of 'better the devil you know', i.e. my chronic condition sucks but I know what it involves and how best to manage it and therefore the small risk of passing it on might not be as bad as her getting something more severe or something we know very little about.

    Still keeps me up at night sometimes, not going to lie.
  • @kannerush yes! I also have eczema and psoriasis and I am terrified that she will get them from me as I got it from my dad.

    i just try to think though that this baby will be loved and while i haven't loved parts of having those two things it really helped me grow in my empathy and ability to care for others and if she gets those things that's pretty okay too 
    April Siggy Challenge Social Distancing


  • I have a Chiari Malformation along with a history of blood clots. I am seeing a neurologist March 28th because my OB is worried that I should not be pushing during labor. I have a VERY mild Chiari and have not had to have any corrective surgeries done. My brother had a severe one and has had 4 brain surgeries. I am interested to see what the neurologist has to say, but I know I will most likely have to get some scans done since it has been awhile. As for the blood clot I just do my nightly injections of thinners for now. 
  • @Kannerush you've got private mail (coming in a minute!)
    BabyFruit Ticker
    Married: 07/04/2015
    BFP: 11/14/2015
    EDD: 07/25/2016
  • I have hypermobility which is a disorder where my ligaments are too stretchy, leading to serious stability issues and chronic pain. I was also born without a left hip socket and spent the first several months of my life in a harness which they think possibly exacerbated my ligament issue because I've been prone to hip dislocations and "snapping" since I was a kid. Pregnancy hormones have further loosened my already too loose ligaments, so basically I'm walking around like a bag of disconnected bones. I am also in the chronic migraine club but luckily have had a lot of relief during pregnancy!  
  • I have a factor seven blood deficiency...not to be confused with a factor eight deficiency a.k.a hemophilia. However, it's still a clotting disorder and puts me in the high-risk category.  Basically, they have me juggling around between my OB, MFM, and hematologist so it's doc visits galore.  Unfortunately factor seven deficiency isn't a treatable disease...they can only treat severe bleeds/hemorrhage with blood transfusions and/or synthetic factor seven at the onset of a bleed.  I guess they want to make sure everybody is prepared for the worst at my delivery....though with my first I had no problems with a vaginal delivery. Hematologist wants me to avoid a c-section at all costs because he thinks I will have more bleeding problems that way.  Unfortunately I have a circumvallate placenta so I'm at higher risk for pre-term birth/emergency delivery. Ugh. My first son also tested negative for the bleeding disorder so we're pretty happy about that! I'm hoping the same for our next LO! Both my mother and her mother has the disease but my sister does not....I have no idea how the genetics work in this case, but I know it's a possibility that my children could get it from me.  It's not a severely limiting disease in regards to interfering with my daily life, but it sucked  when I was growing up because I wasn't allowed to really play sports and I was always left out of most of the physical activities at school because of the possibility that I could get hurt and have a bleed. I was also made fun of quite a bit for not participating in these activities. [Some] kids are really cruel.  Would hate that for my kids. Hoping for the best.
  • @jolydan - I'm a total dope... Can't find a mailbox anywhere on the mobile app! I'm sure I saw it somewhere before, but doh! Suffering big time from preggo brain today.  :#
  • @Kannerush it's on the main page (community) where you can pick all
    forums to visit. You can probably get there by clicking back on the top left corner of your phone ;)
    BabyFruit Ticker
    Married: 07/04/2015
    BFP: 11/14/2015
    EDD: 07/25/2016
  • @kannerush I am terrified that Bean will hit the genetic jack pot between DH and I (I have genetic epilepsy and hypermobility caused by suspected Marfan's syndrome and DH has Ankylosing Spondylitis and possible Marfan's syndrome). Typing that makes it seem even worse then it was in my head. Euugghh. I'm just going to watch him closely and get him treated ASAP if any of them present. He should hopefully be alright with the epilepsy because it's only girls who have it in my family so far. It's the AS that I am most worried about, but DH knows what to look for and won't let it go untreated like his did (his mum didn't take him to the dr so his progressed a lot further then it usually does).

    @stellaluna14 I also have hypermobility. Have you dislocated anything yet? I did one of toes about 4 times just walking. It's permanently swollen now so hopefully that protects it a little bit. How are you managing it?

    Little boy due July 31st 2016

  • LilLambie said:

    @kannerush I am terrified that Bean will hit the genetic jack pot between DH and I (I have genetic epilepsy and hypermobility caused by suspected Marfan's syndrome and DH has Ankylosing Spondylitis and possible Marfan's syndrome). Typing that makes it seem even worse then it was in my head. Euugghh. I'm just going to watch him closely and get him treated ASAP if any of them present. He should hopefully be alright with the epilepsy because it's only girls who have it in my family so far. It's the AS that I am most worried about, but DH knows what to look for and won't let it go untreated like his did (his mum didn't take him to the dr so his progressed a lot further then it usually does).

    @stellaluna14 I also have hypermobility. Have you dislocated anything yet? I did one of toes about 4 times just walking. It's permanently swollen now so hopefully that protects it a little bit. How are you managing it?

    Ironically I am pretty sure I dislocated my pinky yesterday while walking through a door, that was a surprise because I didn't hit it that hard but that's hypermobility for you! I've been trying to be extra cautious during my pregnancy, my midwife is specifically worried about my stability and falling so railings are my friend! Between that and the general pregnancy clumsiness and shift of balance from my belly I am as unstable as I've ever been! I worry about my knees giving out too so heels are definitely off the table for awhile haha. 
  • @LilLambie it sounds like you two are well informed though of what to look to for and how to treat these things! That is the one good side, if there is one, of hereditary illness of have already gone through some of the trial and error of treatment instead of going into it blind. Also glad to hear you have a really supportive husband since early intervention is always helpful!
    April Siggy Challenge Social Distancing


  • @LilLambie - echoing @Lindsayleigh1989 here a bit but I think those of us who have stared chronic illness in the face know just how vigilant you have to be to fight these things.

    This is my first baby, so I don't know what it feels like to protect your child, but I can only imagine I would do about 500% more and go a million miles further to seek answers and treatment for my little girl.  Not only that but at the first HINT of an issue, I'll be ready for it.

    My parents were blindsided because neither of them have a family history of IBD, but they did each carry a recessive gene for it. Mine also presented at a time when I was reluctant to discuss my bowel habits with them (18yo), so they didn't really get the same heads up that I will have.

    By fighting your illness, you are already braver and stronger than you know or give yourself credit for. I reckon that will make you an even better Mama than you think! :smile: 
  • @mckcak23 I have Chiari as well, small world. I will add the debate on pushing vs c-section for chiari (especially if it is mild) is VERY split down the middle. Most I have known/met/spoke too have chosen to try pushing. Other than some short last headache issues, there was no other negative outcome. I was told no epidural because of the Chiari. It's a very personal decision, and I'm glad that your neuro is getting involved to help with that. I definitely second getting new scans taken. I have lots of other issues complicated that decision, but at the moment I am opting for as natural/non intervening as possible (with the exception of the terrifying shots we were talking about earlier lol). I'm actually kind of really shocked to find another chiari mom!
  • I have no chronic illness to commiserate with you all, I just want to leave you some serious props. You all are an inspiration. I have such respect for you ladies and how you are navigating the already complicated medical journey that is pregnancy and birth as well as managing your additional issues. It sounds like you are being stellar advocates and taking charge of things like the total bad asses you are. I am tearing up now. Because Im pregnant and you all are so awesome. 



  • @joberkiser ugh. I am still really hoping that since it is mild it will be no big deal (I know that is most likely not the reality but a girl can hope right!). I'm going to a new Dr. as I have not been seen by a neurologist in like 14 years (ekk it makes it worse to write out). I did have scans done probably 4 years ago due to neck and shoulder pain, so I am hoping to get my hands on those scans to at least bring him for reference. I figure there are a ton of women out there who are undiagnosed who have babies all the time! (again wishful thinking thought but a girl can hope). I believe there is a mom in June who also has one, I sent her a PM a few weeks ago but I dont know if she ever got it. 
  • Like @Lindsayleigh1989 (a fellow Minnesotan!), I completely understand if this isn't the right group for me--just let me know! More than anything, I want to offer my support to all of you fierce baby-growing creatures.

    I have mild cerebral palsy on my left side. I spent my childhood in braces and physical therapy; I walk with a slight limp; I call my left leg my peg leg because it's about 1/2 the girth (ew) of my right; I don't have hardly any dexterity in my fingers or toes or strength in my hand; All that being said, I feel incredibly lucky to have had a "normal" (whatever that means) life and pregnancy thus far. Walking is getting rough since balance is already not my friend (SO glad this has been an easy MN winter) and I'm awfully gimpy by the end of the day. I'll be scheduling an appointment with a physical therapist soon to see if there's anything we can do to ensure smooth sailing from here on out. 

    If anyone else is having difficulty walking, have you discussed temporary handicap parking? I will be bringing this up at my next appointment.
  • Like @Lindsayleigh1989 (a fellow Minnesotan!), I completely understand if this isn't the right group for me--just let me know! More than anything, I want to offer my support to all of you fierce baby-growing creatures.

    I have mild cerebral palsy on my left side. I spent my childhood in braces and physical therapy; I walk with a slight limp; I call my left leg my peg leg because it's about 1/2 the girth (ew) of my right; I don't have hardly any dexterity in my fingers or toes or strength in my hand; All that being said, I feel incredibly lucky to have had a "normal" (whatever that means) life and pregnancy thus far. Walking is getting rough since balance is already not my friend (SO glad this has been an easy MN winter) and I'm awfully gimpy by the end of the day. I'll be scheduling an appointment with a physical therapist soon to see if there's anything we can do to ensure smooth sailing from here on out. 

    If anyone else is having difficulty walking, have you discussed temporary handicap parking? I will be bringing this up at my next appointment.
    I have a long term Placcard because one of my issues causes my blood pressure to drop leading to fainting.  I think if you need it, you're best off to call in and have the process started ASAP. It takes a really long time in my experience. 
  • @randypluskate welcome! And yes so so glad it has been a mild winter to help with these issues. Glad you are getting into physical therapy soon I just finished my round today.

    do you have a si loc belt? It has really helped 
    me with stability in hip and pelvis but not sure if that would helpful but you could ask your pt about it. I noticed once I had it my pain in walking greatly diminished 
    April Siggy Challenge Social Distancing


Sign In or Register to comment.
Choose Another Board
Search Boards
"
"