after pregnancy flare?

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Regular Member

Date Joined Aug 2007
Total Posts : 206
   Posted 10/15/2009 8:26 PM (GMT -6)   
I visited with my dr. today because I wanted another opinion on getting pregnant before we can actually try.  I've known that most women can have a normal pregnancy and sometimes without Lupus symptoms and that afterwards you may have a serious flare.  What I didn't know and my dr. pointed out to me today is that the flare can be more severe to the nephritis than just your regular aches and pains.  Has anyone else's dr. mentioned that to them.  I tried to tell my hubby that it frightens me even more to have a baby because of that and he can't believe that the dr. has never mentioned that to us before.  I was looking for something on-line to support that but I can't seem to find anything. 
We are meeting with a high-risk ob-gyn in a few weeks and he'll be with me so I'm hoping she will mention something too.
 "Challenges make you discover things about yourself you never really knew."
 SLE and Class II Lupus Nephritis

New Member

Date Joined Oct 2009
Total Posts : 1
   Posted 10/17/2009 11:52 PM (GMT -6)   
I'm glad you are doing well enough to think about having a baby!  You are on the right track in consulting a high-risk specialist.  You asked the question about anyone's dr. ever informing them that a serious nephritis flare could be triggered by pregnancy and post-partum.  My daughter has class IV nephritis.  She only flared and was diagnosed after her baby was born.  She was fine throughout the actual pregnancy.  She had to undergo chemo, prednisone, blood transfusions and was very ill. Fortunately the chemo put her into remission.   One dr. advised her not to risk another pregnancy since that triggered her lupus nephritis.  He  told her that her daughter needed a mother.  Other dr's. told her to go ahead and get pregnant.  I don't know how severe your kidney involvement is or if it would progress. Ultimately, I guess the patient has to assess the risks.  My daughter opted to be mother to the daughter she already has.  I don't know if you already have children, but whatever you decide, I will remember you in my prayers.

Regular Member

Date Joined Aug 2007
Total Posts : 206
   Posted 10/18/2009 8:49 AM (GMT -6)   
Thanks for responding. I have class II nephritis, and my dr. said that if I become pregnant we will watch it like a hawk. I'm not sure if there are chances of it getting worse during pregnancy, but I've also been told that azothiaprine is a safe drug to use during pregnancy and that could treat it if problems occur. I don't have any children already-in fact 3 years ago I lost a baby due to an ectopic pregnancy. My husband and I would be happy with only one. I'm hoping to get more insight when I meet with the high risk dr. I'm a little scaired of this whole pregnancy thing, but thats why I keep asking questions.

Thanks again!
 "Challenges make you discover things about yourself you never really knew."
 SLE and Class II Lupus Nephritis

Veteran Member

Date Joined Sep 2005
Total Posts : 2573
   Posted 10/20/2009 6:34 PM (GMT -6)   
there are things they can do to minimize the chances of a bad flare after the baby comes, it involves IV steroids for 48 hours after delivery given every few hours.
Dx:fibromyalgia 2002, systematic lupus 2005- definate CNS involvement dxed late 2005, psoriasis 2006, rheumatoid arthritis 2006, PTSD 2007, multiple allergies 2005, migraine, compression fractures T11 & T12, Sj√∂gren's, damaged periphrial nerves 2007, exema
Tx: plaquenil, Enbrel, Tramadol, Singulair, Skelaxin, Baby Asprin, Imuran, Prilosec, lasix, Evoxac, Celebrex, Darvocet when things get too bad, prednisone again, various vitamin/mineral supplements, cozar
"Those who dream by night in the dusty recesses of their minds wake in the day to find that it was vanity: but the dreamers of the day are dangerous men, for they may act their dreams with open eyes, to make it possible." T. E. Lawrence

Regular Member

Date Joined Aug 2005
Total Posts : 215
   Posted 10/21/2009 8:44 AM (GMT -6)   
I agree with jessies mom about the high risk ob. One reason that it would put more stress on your kidneys is because during a normal healthy pregnancy, a womans kidneys are working harder because of the increased fluid and toxins as well as the increase in weight your kidneys have to deal with. having a baby is a very serious consideration. i knew what could happen with my four pregnancies. I have 3 beautiful children. One baby died during pregnancy and another twin died in utero (sp) Ive been in flare since my daughter now 9 was born. Id do it again though for each one of them.
Lupus (SLE), fibromyalgia, T4/T5 & L fractures, hyperthyroid, pernisious anemia, Interstitial lung disease, vasculitis, neuritis, osteoporosis, gerd, APS, thyroiditis, complex thyroid nodules, asthma,  4 valve regurg., hemolytic anemia,

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