Showing posts with label medication. Show all posts
Showing posts with label medication. Show all posts

Thursday, November 14, 2013

Pregnant With Medical Issues? Questions To Ask Part 2



(Continued from Part 1)

-What effect with the pregnancy have on me? This is different from the first one because some disorders can be exacerbated by pregnancy, medicine or no. For instance, a good friend of mine from high school has MS. She told me that, while she wanted kids before, she didn't think it would be a good idea to get pregnant because it might make her disease progress even faster than it already had. She'd seen this happen with her cousin and, while no two cases are exactly alike, she didn't want to take the risk. Also, people with severe injuries like I mention below might decide against having children because they fear their bodies cannot handle the stress a pregnancy would cause. What we have to remember here is that it is not only the baby's life to consider, but our own and the rest of our family's. Some might find this selfish, but consider this: There are religions (i.e. Judaism) that will require that a mother terminate a pregnancy if carrying it to term will endanger her life. The reason for this is that life-which is to be preserved above all else-is thought to begin at birth, not conception. There's definitely some disagreement as to exactly when the fetus would be considered a life-at birth, when it is capable of living outside of the womb, etc-but, until then, it is considered a potential life while the mother is a full life. A woman who believes this way might decide not to get pregnant (or to have the baby delivered early) so she will not have to deal with the physical and mental effects terminating a pregnancy may cause.

-What sorts of special precautions do I need to take, if any? Eight years ago, I was in a massive car wreck and broke my pelvis. To literally put me back together, doctors had to put two metal pins in the left side to stabilize the bones while I recovered. One of my doctors told me that, as long as I had those pins in, my pelvis may not be able to expand enough to permit me to carry a child to term and have it naturally. He said that, since this wasn't something they'd be able to predict ahead of time, he would probably schedule a C-section as close to the end of 9 months as possible just to be safe. I didn't get pregnant and had the pins removed last year during my hip replacement, but the point is that you might have to take special precautions to ensure your own health rather than the baby's.

And now, for what is probably the most difficult question of all-
-Is it worth the risk? For some people, the answer might be no. However, it's something only they and their doctor can decide. If a couple can't have a child naturally but still feels called to parenthood, there are tons of children out there in need of a home. There's more than one kind of family.

Pregnant With Medical Issues? Questions To Ask Your Doctor Part 1


It's been said that pregnancy is one of the most fulfilling and perplexing experiences in life. You find out you're pregnant and suddenly you have a million questions running around in your head. Do I need prenatal vitamins? Should I go to an OB/GYN or will my family doctor suffice? Do we have enough room in our house for a new baby? How will we introduce him/her to the rest of the family? This can be overwhelming for any woman, let alone one with an ongoing condition. We (yes, we) have a whole extra set of questions to ask. For example:
-Can I take my medication/get treatment? One of the biggest questions of pregnancy with medical issues is being able to take your medications. While it's possible to take *some* medications with no harm to the baby, doctors often find themselves having to either reduce the dose or try to switch to a different medication. The problems with this are obvious: What if the lowered dose isn't effective for whatever problem it's supposed to address? What if there is no comparable medication to switch to? How would your health or the baby's health be affected if you went off of medication entirely? How long will you have to be off of the medication before you get pregnant, and how long after the baby is born? Can you breastfeed?  These are serious questions to ask your doctor if you plan to become pregnant.
Women with cancer rarely pass the condition on to their children, but some more aggressive forms of treatment can harm a growing fetus. Your doctor will be able to determine the best course of action.


-How (or if) can I avoid giving my condition to the baby? When I say this, I'm not talking about genetic-related conditions, but things you acquired prior to becoming pregnant. Fortunately, medical science has come pretty far in lowering the risk of mother-to-child transmissions of HIV and other illnesses. Even so, it will be vitally important for your doctor to know you're pregnant as soon as possible so s/he can recommend the best course of treatment for both you and your baby. Depending on the condition, you may also be given advice as to how to have the child (naturally vs. C-section) or breastfeeding.
If the condition is genetic, you'll want to find out what the chances are you'll pass it down. Not all disorders have “dominant” or “recessive” genes like the ones we learned in biology class. If a child does end up with your condition, you'll want to know the best treatment plan for your baby. It might be different from the one you're on.

For brevity's sake, the list will be continued in Part 2.