Is anyone trying to get pregnant?

anonymous

New member
Sorry - - I just became a member and for some reason the logon isn't working for me. I am currently not trying to get pregnant yet, but my husband and I are starting on that path.

In regards to genetic screening..... We did test him to see if he was a carrier. If this is something you are thinking about doing, it really is a load off of your mind. Also, a genetics counselor will sit down with you and explain the risk depending on where you get tested - CF center or elsewhere - and what level of confidence you can have with the test result. They will also discuss other options, artificial insemination, in vitro, etc. For example, we decided not to go with the CF center screening because our insurance would not cover any of the cost, and it would have cost us an additional $500 out of our pocket. The difference between the CF center and the local blood center was being either 99.97% positive he was not a carrier (CF center) or 99.96% (local blood center). So, we are 99.96% positive that he is not a carrier of any of the mutated genes that determine CF.

It depends on what your screening options are within the area you are living. CF centers tend to screen for many more mutations than an outside center, but it may not translate to being better because frequency within the population with the specific gene mutations they screen for, race, and family histories also plays into the statistics. At the end of the day, they can never give a 100% answer to not being a CF Carrier.

My health is very good so when I speak with my dr. about having children, it is usually focused on if we start trying and we have any difficulties. She did give me some names of dr's in our area that she has referred other CF patients in the past. She did this to save us time because she said it is possible if I would see other dr.'s not already familiar with CF they will end up going through a battery of tests for me to detemine infertility cause when it is probably related to mucus thickness. Instead of double checking spouse, and then just going forward with artificial insem.

I urge you to look at the home page of this website and go to the links page. There is a woman name Norma who has a link to her webpage- also including it below. She is a 41 year old with CF, retired nurse, and she has tons of helpful info - pregnancy related. This has provided me with quite a bit of information.

<a target=_blank class=ftalternatingbarlinklarge href="http://www3.nbnet.nb.ca/normap/CF.htm
">http://www3.nbnet.nb.ca/normap/CF.htm
</a>
Good luck - what an exciting time! - - Regards - Point (28 year old/f / CF)
 

anonymous

New member
Point again.....

Wanted to list the abstract of an article from the medical journal <i>Chest</i> just posted this month by Norma....

Chest. 2006;129:706-711.)
© 2006 American College of Chest Physicians

Impact of Pregnancy on Women With Cystic Fibrosis*
Ann H. McMullen, RN, MS; David J. Pasta, MS; Paul D. Frederick, MPH, MBA; Michael W. Konstan, MD; Wayne J. Morgan, MD; Michael S. Schechter, MD, MPH, FCCP; Jeffrey S. Wagener, MD; for the Investigators and Coordinators of the Epidemiologic Study of Cystic Fibrosis
* From the University of Rochester Medical Center (Ms. McMullen), Rochester, NY; Ovation Research Group (Mr. Pasta and Mr. Frederick), Highland Park, IL; Rainbow Babies and Children's Hospital (Dr. Konstan), Cleveland, OH; the University of Arizona (Dr. Morgan), Tucson, AZ; Brown University (Dr. Schechter), Providence, RI; and the University of Colorado Health Sciences Center (Dr. Wagener), Denver, CO.


Correspondence: Ann McMullen, MS, CPNP, Senior Advanced Practice Nurse, Division of Pediatric Pulmonology and Allergy, Department of Pediatrics, University of Rochester Medical Center, Associate Professor of Clinical Nursing, University of Rochester School of Nursing, 601 Elmwood Avenue, Rochester, NY 14642, Phone: 585-275-2464, Fax: 585-275-8706, Email: ann_mcmullen@urmc.rochester.edu

Abstract

Background: Improvements in the health and survival of patients with cystic fibrosis (CF) have led to increasingly normal lifestyles, including successful pregnancies in women with CF. Concern exists among care providers about the impact of pregnancy on the health of women with CF.

Study objectives: We examined data from a large longitudinal observational study, the Epidemiologic Study of Cystic Fibrosis (ESCF), to characterize health outcomes and CF-related therapies in women who became pregnant.

Design: This analysis was conducted using ESCF data from 1995 to 2003.

Patients: A total of 216 women, aged 15 to 38 years, who met the criteria for a qualifying pregnancy, were compared with a matched group of never-pregnant women during three time periods (ie, baseline, during pregnancy, and follow-up).

Interventions: None.

Results: The baseline pulmonary function (FEV1) values were 74.5% and 66.4% predicted, respectively, in the pregnant and nonpregnant women. Declines in FEV1 values of 6.8% and 4.7%, respectively, were observed from baseline to follow-up in the pregnant and nonpregnant women (p = 0.61). During pregnancy, outpatient visits were 33% more frequent compared to baseline and 62% more frequent than in the nonpregnant group (7.19 vs 4.45, respectively, visits annually). Annual rates of respiratory exacerbation and hospitalization were similar at baseline but increased during pregnancy. The prevalence of treatment for diabetes more than doubled, from 9.3% at baseline to 20.6% during pregnancy, and was 14.4% at follow-up. In contrast, 18.7% of the never-pregnant women were being treated for diabetes at baseline, rising to 25.2% at follow-up.

Conclusions: These findings suggest that, over the same time period, women with CF who become pregnant experienced similar respiratory and health trends as nonpregnant women. However, pregnant women use a greater number of therapies and receive more intense monitoring of their health. These findings have implications for clinicians providing prepregnancy counseling for women with CF.
 

ladybug

New member
I think its just the "usual suspects" that can flare up when we're prego just like anytime when not prego. I know that most IVs can be safely taken during pregnancy, and many prego women, toward delivery, get a "clean out" just so they can really be healthy once baby arrives. I wouldn't be too worried about it. (knock on wood)

Sonia
 

julie

New member
I odn't have CF but I have been told my by hirisk OB that "new studies" (and BTW, they are NOT new, just becoming "popular") have come out showing the benefits of prenatals and ADDITIONAL folic acid (in addition to prenatal vitamins) months before someone becomes pregnant So if you are actively trying, I would recommend you start taking that stuff now if you aren't already.

Also, I haven't read to the bottom of the page, but has anyone mentioned HollyCatheryn's website yet? <a target=_blank class=ftalternatingbarlinklarge href="http://www.geocities.com/murrensnaturemama/index.html">http://www.geocities.com/murrensnaturemama/index.html</a>
 
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