Can You Give Birth Naturally if You Have Scleroderma?
Question by : Can you give birth naturally if you have scleroderma?
My mum has scleroderma and she had to have a c section with all three kids. I don’t know if this was because of the scleroderma, so is it possible to give birth naturally with the disease?
Best answer:
Answer by matador 89
Jenna Fowler,
If you have recently been diagnosed with scleroderma and would like to start a family, the experts’ best advice is to wait. “No woman with scleroderma should attempt to get pregnant within three years of diagnosis, because disease complications [including hypertension and kidney damage] are likely to show up within the first three years of the disease and could complicate a pregnancy,” (Quoted from Virginia Steen, MD, professor of medicine at Georgetown University Medical Centre in Washington, D.C.) “If you get through these critical early years of the disease without complications, it’s probably safe to have a baby,” she says. First, however, it is important to speak with your doctor about your medications. Aside from cyclophosphamide (Cytoxan), which can cause ovarian failure, most drugs used for scleroderma don’t have severe effects on fertility; however, some can affect an unborn child from the very earliest days of pregnancy. Because the effects of certain drugs can remain in the body for a period of time after you stop taking them, ideally, you should work with your doctor to taper off harmful medications – and perhaps switch to less risky medications. If you’re taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen or ketoprofen, your doctor may let you continue to using them – at least for a while. The greatest risk of these drugs comes later in pregnancy, when they may interfere with labour, affect amniotic fluid production or cause excessive bleeding during delivery. If you need medications to keep your disease under control, your doctor may put you on a corticosteroid, such as prednisone, that reduces arthritis inflammation but crosses through the placenta only minimally.
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matador 89
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