pain management for preganant people???

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

merrygirl
Veteran Member


Date Joined Jun 2007
Total Posts : 702
   Posted 1/24/2010 2:36 PM (GMT -7)   
my hubby and I want to have a 3rd baby. I have serious helth issues that I have to consider and discuss with my doctor before anything happens, but starting the process of researching and getting advice.

IF I were to get pregnant, what if anything can you do for pain when your preganant. I refuse to take anything that will affect the fetus. So if I have to suffer I will do so.

just wondering what others know or who have experienced this.

dont worry, this is prob 2 years away and many discussions with doctors yet to be had.

I dont take this lightly.

thanks in advance,
melissa
Chronic Lyme Disease
Fibromyalgia

Chronic fatigue syndrome

Polycystic Ovarian Syndrome

Sleep Apnea

Hypothyroidism

Adrenal Fatigue

Type 2 Diabetes


mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 1/24/2010 5:59 PM (GMT -7)   
Hi Merry,
I would discuss it with your PM doctor and your OB prior to concieving so you have a good plan of action for your health and the baby's health both during the pregnancy and after.  Most PM's and OB's prefer to use methadone if the mother is going to be on pain medications during the pregnancy, and this is because there is a ton of research that has been done to ensure a safe pregnancy and minimal chances of long term complications for the baby.
You do have to know that the baby will most probably experience withdrawal . In that event, the baby is transferred to NICU so that the baby can be closely monitored and tapered off the medication slowly. It can take a few weeks, depending on how much methadone the mother was on before delivery.
Sometimes, if the baby is stable, has no other problems such as premature delivery or apneas, or things like that, they are allowed to go home , still being tapered as long as they are monitored closely by a perinatalogist.
It can be difficult emotionally for the mother watching their baby going through withdrawal but if it is done correctly, the baby will not experience too many side effects of withdrawing the oral meds since it is done in minute doses.
Anyway, it sounds like you have a good plan in mind , discussing your options with your OB and PM  before getting pregnant.
Sandi
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.
Avascular necrosis of left wrist- maybe hips too


merrygirl
Veteran Member


Date Joined Jun 2007
Total Posts : 702
   Posted 1/24/2010 6:56 PM (GMT -7)   
thank you. I would definitely be off of pain meds before getting preg, I would not want baby to have withdrawls. One minute I am excited then I doubt myself. I already weened down from 3 oxycodone a day to none today (over more than a week) I will see how that goes before I stop / wean fentanyl with docs help.

I really do not want to be at the ,mercy of the pain clinic anymore. we will see. maybe it is because I am having a good few days. who knows.

I have a little hope,

melissa
Chronic Lyme Disease
Fibromyalgia

Chronic fatigue syndrome

Polycystic Ovarian Syndrome

Sleep Apnea

Hypothyroidism

Adrenal Fatigue

Type 2 Diabetes


Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 1/24/2010 10:13 PM (GMT -7)   
Merrygirl,

They say methadone is safe to take during pregnancy but every person that I've known that took it during pregnancy had their baby stay in NICU for several weeks to help with their withdrawals, but they say methadone cause they've done controlled tests on it, but right now they're "thinking" Subutex is suppose to be much more safer and doesnt have as bad as withdrawals in newborns, sometimes no withdrawals BUT because their isnt enough controlled tests out yet, they cant safely say that. I know a girl that took Subutex during pregnancy and her baby went home with her 2 days after birth and had no withdrawals at all. (I hope that came out right, but this is just what I've "heard" so all that could be a bunch of bologna for all I know...as I'm just an RN, a Registered Nothing)

It's just that most every person I know thats had chronic pain before pregnany usually have even more pain during pregnancy cause of all those changes that happen to the body. So this is something you will defiently have to talk to doctors about, but I would get 2nd and 3rd opionions, and talk to women that have had your pain issues and went through pregnancy...

When I got pregnant 4 years ago I was on 75mcg fentanyl patches and I was told that was fine from my pain doctor and midwife, and I had a miscarriage at 6 weeks, i have no idea if it had anything to do with that med eventhough I was told it was due to hormone issues, (they did no tests and I asked for none) so who knows, just be very very careful. Do the research, and research your research.

-carmen

Carmen~*~*~Chronic Pain Moderator

DX-Chronic Pain due to two freak car accidents, Pancreatic Divisum,Fibromyalgia, Asthma, Depression w/anxiety, Migraines

Meds- Suboxone 16mg for pain, Cymbalta 60mg, Lyrica 50mg, Imitrex 100mg PRN,Ibprofen 800mg PRN, Ventolin Inhaler PRN, Visteril PRN

 


tysmyboo
Veteran Member


Date Joined Dec 2004
Total Posts : 921
   Posted 1/25/2010 3:24 AM (GMT -7)   
Melissa,
My husband and I are in this same boat. I am currently on fentanyl patches with norco 10's as breakthrough meds and just had a spinal cord stimulator implanted a month ago. We go back and forth about having a baby as well...It's a difficult decision for sure. I already know I would have to find another OB, the one I have is very anti-medication regardless of the use and that just seems a little unrealistic. My pain management doctor is great but he is not used to treating pregnant women.

Anyway, I would love to keep in touch and share any information we come across.
Sara-Migraine/Headache Forum Moderator
Battling headpain for 17 years.
DX: occipital neuralgia-radiofrequency nerve ablation every 6mo
 
Thanks for Visiting HealingWell.com, Please Donate to keep Healingwell alive!
 
 
ER Treatment Form
 
 


merrygirl
Veteran Member


Date Joined Jun 2007
Total Posts : 702
   Posted 1/25/2010 8:37 AM (GMT -7)   
thanks everyone. I definitely appreciate all the info. I really need to slow down and think about this. I was ready to go and pull my IUD today but I do have plenty of time. I really didnt think about the fact I will likely be in more pain from the changes in my body. That is a really basic thing. SO I may be jumping the gun here. I need to relax, calm down and really sort this all out.
I think I had a few good days and I am thinking about babies. I am really happy that hubby would like another at some point.

I just found a new lyme doctor so we will see what she says.

melissa
Chronic Lyme Disease
Fibromyalgia

Chronic fatigue syndrome

Polycystic Ovarian Syndrome

Sleep Apnea

Hypothyroidism

Adrenal Fatigue

Type 2 Diabetes


Splashdancer
Veteran Member


Date Joined Aug 2009
Total Posts : 927
   Posted 1/25/2010 6:07 PM (GMT -7)   
Hello Melissa. Well, here is my $.02! Now, before I say any more - this is only my experience - you already know to check with your own doctor(s) and do your own research. I am always hesitant to tell my story because some people (not on here) have 'judged' me for my decisions. But those decisions were ALWAYS made with the best interests of my unborn children in mind. I used pain medication (Percocet 5/325) during my last 2 pregnancies. During 2 hospitalizations, while pregnant, I had small amounts of IV morphine. In my case, the benefits of pain mediation far out-weighed any risk to my babies. The stress of severe pain can be very detrimental to a growing fetus. Think about it this way - what stresses us, stresses them - whether it is pain, anxiety, fear, etc. Towards the end of my pregnancies, I tapered down to an even lower dose than I was already taking. Neither of my sons showed any signs of dependence at birth. They were monitored closely of course, but no fussiness, trembling, or difficulty eating. Slightly low birth weight, but that was attributed to both being delivered appx. 3 weeks early. For what it is worth, I was also on an antidepressant during my pregnancies (at the time, I had been on it for about 8 years). These 2 "babies" are now 16 and 11 - normal, healthy, active, sweet, loving, smart, mouthy, aggravating, frustrating - and the lights of my life smile !
 
Again - this is only my own experience. I am not recommending anything. I just wanted you to know of 2 success stories, in case you and your doctors decide pain medication during pregnancy is something you have to consider. You sound like a great mom! Good luck to you!

Post Edited (Splashdancer) : 1/25/2010 6:12:50 PM (GMT-7)


mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 1/27/2010 7:30 AM (GMT -7)   
Merry and Splash,
I also hesitate telling my own experiences with pain meds during pregnancy and delivery for the same reasons that Splash talks about, the judgement that comes from some who have no idea of the complexities that came with having to make that decision about pain meds or not during pregnancy.
My sons , both of them are wonderful, happy , little boys , who are almost 9 now and almost 10.....but it can be done and if managed correctly, the baby and you will come out the other side okay.
Merry, if you want more details, email me and I will tell you my story and experiences.
I just wanted to also tell you that not all pregnancies end up increasing pain levels, mine went down, and actually changed my RSD symptoms during the pregnancy and post partum as well.
Sandi
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.
Avascular necrosis of left wrist- maybe hips too


merrygirl
Veteran Member


Date Joined Jun 2007
Total Posts : 702
   Posted 1/27/2010 8:39 AM (GMT -7)   
wow slpash and sandi- I really appreciate and respect your candor. IT means a lot to me. It good to know t hat it is possible to do. I have relaxed a little and am trying not to rush the decision. I am going to get a second opinion on my lyme and co in a few weeks.

Its good to have people like you guys around!! thanks for being honest.

melissa
Chronic Lyme Disease
Fibromyalgia

Chronic fatigue syndrome

Polycystic Ovarian Syndrome

Sleep Apnea

Hypothyroidism

Adrenal Fatigue

Type 2 Diabetes


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 1/27/2010 10:59 AM (GMT -7)   
IF I were to get pregnant, what if anything can you do for pain when your preganant
 
 
   Dear Melissa,
 
     It is always good to hear from you. How is the family holding up? Your father and brother? I have often wondered how you are doing in that reguard. I remember seeing your post about them, and I had wanted to post to you, but have had a hard time "functioning" latly. I sure hope things have  slowed down for you.
 
     I know nothing of "pain management" while pregnant. As you know my "chronic" problems didnt start until I was 27. (am 29 now). But, I did have a rather unique set of circumstances for half of my pregnancy with my first daughter.....
 
      I doubled over in pain, but it would subside, then come back, subside and come back... I found out later I was, indeed, pregnant. But, that I had a soft ball sized cyst on my ovary. If they operated on it and removed it during the early stages of pregnancy the chances of loosing my child were greater. If it ruptured, being that size, again another chance I would loose the baby.
 
       So (alot of folks treated me like I was crazy for this) what I did was decided to wait until my 2nd trimester to have surgery (the safest possible time frame), if I was still pregnant and "if" the cyst hadnt already ruptured by that point then I would go ahead with the surgery. I was given many different kinds of "mild" pain medicines and relaxors. But, I didnt take them. The pain was very hard at times, and most times I had pillows around me everywhere, unable to walk or sleep very well. 
 
       When the 2nd trimester came, I went into surgery. When I came out, I was told that I "coded" and that there turned out to be multiple cysts of rather large size on both ovaries which had grown in the prior months, 3 of which were size of tennis balls (was weird because I had a rather small body before pregnancy and the cysts suck out further than the stage of pregnancy did *shiver*). That both ovaries required "cleaning" or "removal" of cysts. So, of course I was given many medicines while in recovery. The only problem was that, from day one with my pregnancy, I had "stomach sickness" and the recovery + medicines/IV meds seemed to make the stomach sickness go into over drive. What went in, came promptly back out! Even the shots they gave me to keep the medicines down, did very little to help. LOL. They kept me there a few days due to the circumstances. I had to take pain medicines orally for a few weeks after that aswell. No matter what any of the doctors told me, I was frightened to no end!!! That all of it had hurt my baby somehow.
 
      But!! Shes is a beautiful, healthy little lady today. Normal birth weight, normal developments physically and mentally. It really is marvelous what modern medicine is able to achieve, the differrent ways they can help with pregnancy and birth.
 
     So, that is about the extent of my knowladge reguarding pregnancy and pain medicines. If I were in your shoes, I would consult with your physician. There are so many ways that you can have a safe pregnancy these days. It boggles the mind. But, most of all, follow your heart.
 
      I hope you get a chance to relax a little bit today.
 
*hugg*
  dani 
 
    

 

 

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood

 

 

New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, December 07, 2016 5:37 AM (GMT -7)
There are a total of 2,734,003 posts in 301,165 threads.
View Active Threads


Who's Online
This forum has 151301 registered members. Please welcome our newest member, BrisaMeadows.
257 Guest(s), 13 Registered Member(s) are currently online.  Details
Bui, wthj53, THE HAPPY TURTLE, Joan M, AngelsmamaDorseysdaughter, Smeadley, Hope4all, johndoss, Jay79, Bobby Mac, SharonZ, TiredOfIssues, straydog


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer