Guest guest Posted December 11, 2006 Report Share Posted December 11, 2006 Hi there everyone! It's been ages since I last posted and most of you might not know me, there are so many new faces - welcome by the way! To all my old friends ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my life is so crazy at the moment I never seem to have the time to even check e-mail anymore never mind post, guess you could say I've become a permanent lurker! By the way does anyone know what has happened to Judie & Tess? I always look out for their posts but I haven't seen anything from them for ages. I'm still in remission and making sure that I enjoy every minute of it - sometimes it's scary to think it might not last but at least I'm living it up to the max while I can! Loads on the go this year, in May we had our second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st for those who don't know me) is jealous as can be but loves his baby brother to bits anyway! We are building our first house and I'm studying a therapist course in a fantastic method to help people stop smoking - it's lots more fun than it sounds and I'm loving my course - I will start treating people in January and I can't wait as it really combines my dream of working for myself and helping people at the same time. I haven't really had time to read posts but have noticed that there have been quiet a few related to pregnancy and RA lately and thought my little story might give anyone trying some hope so here goes! I was diagnosed with RA when I was 25(which is also when I joined the group) I'm 31 now (Yikes time flies!). When I found out I had RA I had already been trying to fall pregnant for about 2 years and as I was in major flare for a long time the doctors told me to " Hurry up " so I could start the DMARDS (this was easier said than done as I have endometriosis). I was put on Prednisone while I was trying to fall pregnant as my Rheumy said that the NSAIDs were out (I believe she said it was because they have a miscarriage risk) and so were the DMARD's (although my Rheumy has since told me that many Lupus sufferers stay on Plaquenil when pregnant so??). The Prednisone worked very well and I was on it exclusively for over 2 years before I finally fell pregnant. I continued to take the Prednisone at lower and lower doses until I was 7 months pregnant at which time I tapered off completely and enjoyed a full remission which was fantastic! Just after I stopped the prednisone the baby stopped growing. We picked this up when I was 7 1/2 months pregnant and the end was very worrying as he just didn't gain weight. My Gynae thought this was caused by the RA although I never did understand why and have never read anything about this happening because of RA, I also did my own research and read that Prednisone could cause growth retardation so who knows. I do remember there being a discussion here about RA and small babies ages ago. Finally at 8 months, a week before the doctor was going to induce me because of the growth problem, my waters broke and I gave birth to a premature and small (2.3 Kgs) but healthy baby. He had slight respitory distress at birth and we spent 10 days in hospital with him in an incubator but he was absolutely fine after that and is now a very healthy, VERY energetic 3 1/2 year old! Within a week after Fabien (my 1st little boy) was born old Arthur made a comeback and I went into a flare. All the doctors were adamant that I stop breastfeeding and start the DMARDS immediately but I just couldn't cope with that idea (I'm a little stubborn ;-) After crying on my Rheumy's shoulder (she was actually a breastfeeding mom herself at the time so was very understanding) we decided to try and get the flare under control with Voltaren (she felt it would be OK for the baby although I've since been recommended " Nifluril " as it is apparently better for breastfeeding mothers) and she also ordered me to get as much rest as possible. She thought I would last a few weeks like that before I would have to start the meds - I ended up breastfeeding him for over 2 years until I was pregnant with my second! Fabien is now 3 1/2 years old and a very healthy, happy little boy. I have been in remission for ages now with a few small/medium flares for the first year after he was born which I managed to get under control with rest and Voltaren. I think one of the best things I did was to stop working full time so that I am far less tired and stressed than before (don't worry I do realise how blessed I am to have been able to do that and that for many giving up work just isn't an option!) I noticed a direct correlation between the amount of stress I had and the flares and now if I start getting any of the warning signs a flare is on the way (major fatigue or any stiffness) I just push the " STOP " button and rest as much as I can (easier said than done as now have 2 boys but i've learn't the hard way that when my body says stop it means it!). I've joined a gym, taken up a weekly meditation class and eat healthier which I'm sure all helps but realise that I am also just very very lucky! Six months ago I had another beautiful little boy " Logan " he was born at term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare during the pregnancy as I contracted " Chikungunya " which is a viral disease transmitted by mosquitos. Besides a variety of other pretty awful symptoms it puts you into something which is pretty much exactly like a full on RA Flare. Thank God it didn't affect the baby but I was back to being granny Heidi(no offense to our real grannies but you know what I mean ;-)for about 3 months - I was terrified that this would mark the end of my remission as the joint pain can become chronic and last over 3 years even in people who don't have RA and it is known to trigger off dormant RA in patients who have it. Once again I was blessed and after 3 months of hobbling around I started having premature contractions at 34weeks (no that wasn't the blessing part - actually scary but it worked out well so can laugh now ha!) I was given an injection of cortisone for the baby's lungs and spent a week in clinic - I eventually went to term but the cortisone zapped the joint pain and I am still doing great 7 months later! I am once again breastfeeding and loving it and Arthur is still in sweet remission. I still have the odd mini flare when I am over stressed or tired but they are less and less and very easy to control by just taking it easy and maybe a few days of anti-inflammatories. For now I'm feeling very blessed and lucky for this respite from nasty old Arthur, enjoying every second of my remission and praying that it will last forever! It would be very interesting to know if the breastfeeding has contributed to the remission, /a any comments there? (((((((((Special hugs to you guys!))))))))))) So that's my story! I wish any of you trying for a baby all the luck in the world, this group was a god send for me when I was going through all that. If you want to ask me any questions I'm here, although might take a little while to get back to you as don't switch on my computer every day at the moment! Otherwise just e-mail me directly. Lots of love to all my old friends here and hi to all the new members! Heidi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2006 Report Share Posted December 11, 2006 [ ] RA & Pregnancey & Catch up. Long! Hi there everyone! It's been ages since I last posted and most of you might not know me, there are so many new faces - welcome by the way! To all my old friends ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my life is so crazy at the moment I never seem to have the time to even check e-mail anymore never mind post, guess you could say I've become a permanent lurker! By the way does anyone know what has happened to Judie & Tess? I always look out for their posts but I haven't seen anything from them for ages. I'm still in remission and making sure that I enjoy every minute of it - sometimes it's scary to think it might not last but at least I'm living it up to the max while I can! Loads on the go this year, in May we had our second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st for those who don't know me) is jealous as can be but loves his baby brother to bits anyway! We are building our first house and I'm studying a therapist course in a fantastic method to help people stop smoking - it's lots more fun than it sounds and I'm loving my course - I will start treating people in January and I can't wait as it really combines my dream of working for myself and helping people at the same time. I haven't really had time to read posts but have noticed that there have been quiet a few related to pregnancy and RA lately and thought my little story might give anyone trying some hope so here goes! I was diagnosed with RA when I was 25(which is also when I joined the group) I'm 31 now (Yikes time flies!). When I found out I had RA I had already been trying to fall pregnant for about 2 years and as I was in major flare for a long time the doctors told me to " Hurry up " so I could start the DMARDS (this was easier said than done as I have endometriosis). I was put on Prednisone while I was trying to fall pregnant as my Rheumy said that the NSAIDs were out (I believe she said it was because they have a miscarriage risk) and so were the DMARD's (although my Rheumy has since told me that many Lupus sufferers stay on Plaquenil when pregnant so??). The Prednisone worked very well and I was on it exclusively for over 2 years before I finally fell pregnant. I continued to take the Prednisone at lower and lower doses until I was 7 months pregnant at which time I tapered off completely and enjoyed a full remission which was fantastic! Just after I stopped the prednisone the baby stopped growing. We picked this up when I was 7 1/2 months pregnant and the end was very worrying as he just didn't gain weight. My Gynae thought this was caused by the RA although I never did understand why and have never read anything about this happening because of RA, I also did my own research and read that Prednisone could cause growth retardation so who knows. I do remember there being a discussion here about RA and small babies ages ago. Finally at 8 months, a week before the doctor was going to induce me because of the growth problem, my waters broke and I gave birth to a premature and small (2.3 Kgs) but healthy baby. He had slight respitory distress at birth and we spent 10 days in hospital with him in an incubator but he was absolutely fine after that and is now a very healthy, VERY energetic 3 1/2 year old! Within a week after Fabien (my 1st little boy) was born old Arthur made a comeback and I went into a flare. All the doctors were adamant that I stop breastfeeding and start the DMARDS immediately but I just couldn't cope with that idea (I'm a little stubborn ;-) After crying on my Rheumy's shoulder (she was actually a breastfeeding mom herself at the time so was very understanding) we decided to try and get the flare under control with Voltaren (she felt it would be OK for the baby although I've since been recommended " Nifluril " as it is apparently better for breastfeeding mothers) and she also ordered me to get as much rest as possible. She thought I would last a few weeks like that before I would have to start the meds - I ended up breastfeeding him for over 2 years until I was pregnant with my second! Fabien is now 3 1/2 years old and a very healthy, happy little boy. I have been in remission for ages now with a few small/medium flares for the first year after he was born which I managed to get under control with rest and Voltaren. I think one of the best things I did was to stop working full time so that I am far less tired and stressed than before (don't worry I do realise how blessed I am to have been able to do that and that for many giving up work just isn't an option!) I noticed a direct correlation between the amount of stress I had and the flares and now if I start getting any of the warning signs a flare is on the way (major fatigue or any stiffness) I just push the " STOP " button and rest as much as I can (easier said than done as now have 2 boys but i've learn't the hard way that when my body says stop it means it!). I've joined a gym, taken up a weekly meditation class and eat healthier which I'm sure all helps but realise that I am also just very very lucky! Six months ago I had another beautiful little boy " Logan " he was born at term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare during the pregnancy as I contracted " Chikungunya " which is a viral disease transmitted by mosquitos. Besides a variety of other pretty awful symptoms it puts you into something which is pretty much exactly like a full on RA Flare. Thank God it didn't affect the baby but I was back to being granny Heidi(no offense to our real grannies but you know what I mean ;-)for about 3 months - I was terrified that this would mark the end of my remission as the joint pain can become chronic and last over 3 years even in people who don't have RA and it is known to trigger off dormant RA in patients who have it. Once again I was blessed and after 3 months of hobbling around I started having premature contractions at 34weeks (no that wasn't the blessing part - actually scary but it worked out well so can laugh now ha!) I was given an injection of cortisone for the baby's lungs and spent a week in clinic - I eventually went to term but the cortisone zapped the joint pain and I am still doing great 7 months later! I am once again breastfeeding and loving it and Arthur is still in sweet remission. I still have the odd mini flare when I am over stressed or tired but they are less and less and very easy to control by just taking it easy and maybe a few days of anti-inflammatories. For now I'm feeling very blessed and lucky for this respite from nasty old Arthur, enjoying every second of my remission and praying that it will last forever! It would be very interesting to know if the breastfeeding has contributed to the remission, /a any comments there? (((((((((Special hugs to you guys!))))))))))) So that's my story! I wish any of you trying for a baby all the luck in the world, this group was a god send for me when I was going through all that. If you want to ask me any questions I'm here, although might take a little while to get back to you as don't switch on my computer every day at the moment! Otherwise just e-mail me directly. Lots of love to all my old friends here and hi to all the new members! Heidi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2006 Report Share Posted December 11, 2006 Oops, I sent the message without typing anything. Heidi I have been thinking about you and wondering how your family is. I too, have wondered what has happened to Judi and Tess, as it has been a long time since I have seen a post from them. Congratulations on your work with helping people stop smoking. Glad to hear your family is doing well. Have a wonderful holiday season. Terri [ ] RA & Pregnancey & Catch up. Long! Hi there everyone! It's been ages since I last posted and most of you might not know me, there are so many new faces - welcome by the way! To all my old friends ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my life is so crazy at the moment I never seem to have the time to even check e-mail anymore never mind post, guess you could say I've become a permanent lurker! By the way does anyone know what has happened to Judie & Tess? I always look out for their posts but I haven't seen anything from them for ages. I'm still in remission and making sure that I enjoy every minute of it - sometimes it's scary to think it might not last but at least I'm living it up to the max while I can! Loads on the go this year, in May we had our second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st for those who don't know me) is jealous as can be but loves his baby brother to bits anyway! We are building our first house and I'm studying a therapist course in a fantastic method to help people stop smoking - it's lots more fun than it sounds and I'm loving my course - I will start treating people in January and I can't wait as it really combines my dream of working for myself and helping people at the same time. I haven't really had time to read posts but have noticed that there have been quiet a few related to pregnancy and RA lately and thought my little story might give anyone trying some hope so here goes! I was diagnosed with RA when I was 25(which is also when I joined the group) I'm 31 now (Yikes time flies!). When I found out I had RA I had already been trying to fall pregnant for about 2 years and as I was in major flare for a long time the doctors told me to " Hurry up " so I could start the DMARDS (this was easier said than done as I have endometriosis). I was put on Prednisone while I was trying to fall pregnant as my Rheumy said that the NSAIDs were out (I believe she said it was because they have a miscarriage risk) and so were the DMARD's (although my Rheumy has since told me that many Lupus sufferers stay on Plaquenil when pregnant so??). The Prednisone worked very well and I was on it exclusively for over 2 years before I finally fell pregnant. I continued to take the Prednisone at lower and lower doses until I was 7 months pregnant at which time I tapered off completely and enjoyed a full remission which was fantastic! Just after I stopped the prednisone the baby stopped growing. We picked this up when I was 7 1/2 months pregnant and the end was very worrying as he just didn't gain weight. My Gynae thought this was caused by the RA although I never did understand why and have never read anything about this happening because of RA, I also did my own research and read that Prednisone could cause growth retardation so who knows. I do remember there being a discussion here about RA and small babies ages ago. Finally at 8 months, a week before the doctor was going to induce me because of the growth problem, my waters broke and I gave birth to a premature and small (2.3 Kgs) but healthy baby. He had slight respitory distress at birth and we spent 10 days in hospital with him in an incubator but he was absolutely fine after that and is now a very healthy, VERY energetic 3 1/2 year old! Within a week after Fabien (my 1st little boy) was born old Arthur made a comeback and I went into a flare. All the doctors were adamant that I stop breastfeeding and start the DMARDS immediately but I just couldn't cope with that idea (I'm a little stubborn ;-) After crying on my Rheumy's shoulder (she was actually a breastfeeding mom herself at the time so was very understanding) we decided to try and get the flare under control with Voltaren (she felt it would be OK for the baby although I've since been recommended " Nifluril " as it is apparently better for breastfeeding mothers) and she also ordered me to get as much rest as possible. She thought I would last a few weeks like that before I would have to start the meds - I ended up breastfeeding him for over 2 years until I was pregnant with my second! Fabien is now 3 1/2 years old and a very healthy, happy little boy. I have been in remission for ages now with a few small/medium flares for the first year after he was born which I managed to get under control with rest and Voltaren. I think one of the best things I did was to stop working full time so that I am far less tired and stressed than before (don't worry I do realise how blessed I am to have been able to do that and that for many giving up work just isn't an option!) I noticed a direct correlation between the amount of stress I had and the flares and now if I start getting any of the warning signs a flare is on the way (major fatigue or any stiffness) I just push the " STOP " button and rest as much as I can (easier said than done as now have 2 boys but i've learn't the hard way that when my body says stop it means it!). I've joined a gym, taken up a weekly meditation class and eat healthier which I'm sure all helps but realise that I am also just very very lucky! Six months ago I had another beautiful little boy " Logan " he was born at term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare during the pregnancy as I contracted " Chikungunya " which is a viral disease transmitted by mosquitos. Besides a variety of other pretty awful symptoms it puts you into something which is pretty much exactly like a full on RA Flare. Thank God it didn't affect the baby but I was back to being granny Heidi(no offense to our real grannies but you know what I mean ;-)for about 3 months - I was terrified that this would mark the end of my remission as the joint pain can become chronic and last over 3 years even in people who don't have RA and it is known to trigger off dormant RA in patients who have it. Once again I was blessed and after 3 months of hobbling around I started having premature contractions at 34weeks (no that wasn't the blessing part - actually scary but it worked out well so can laugh now ha!) I was given an injection of cortisone for the baby's lungs and spent a week in clinic - I eventually went to term but the cortisone zapped the joint pain and I am still doing great 7 months later! I am once again breastfeeding and loving it and Arthur is still in sweet remission. I still have the odd mini flare when I am over stressed or tired but they are less and less and very easy to control by just taking it easy and maybe a few days of anti-inflammatories. For now I'm feeling very blessed and lucky for this respite from nasty old Arthur, enjoying every second of my remission and praying that it will last forever! It would be very interesting to know if the breastfeeding has contributed to the remission, /a any comments there? (((((((((Special hugs to you guys!))))))))))) So that's my story! I wish any of you trying for a baby all the luck in the world, this group was a god send for me when I was going through all that. If you want to ask me any questions I'm here, although might take a little while to get back to you as don't switch on my computer every day at the moment! Otherwise just e-mail me directly. Lots of love to all my old friends here and hi to all the new members! Heidi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2006 Report Share Posted December 11, 2006 Thanks Terri! Happy Happy Holidays to you and yours! Heidi Re: [ ] RA & Pregnancey & Catch up. Long! Oops, I sent the message without typing anything. Heidi I have been thinking about you and wondering how your family is. I too, have wondered what has happened to Judi and Tess, as it has been a long time since I have seen a post from them. Congratulations on your work with helping people stop smoking. Glad to hear your family is doing well. Have a wonderful holiday season. Terri [ ] RA & Pregnancey & Catch up. Long! Hi there everyone! It's been ages since I last posted and most of you might not know me, there are so many new faces - welcome by the way! To all my old friends ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my life is so crazy at the moment I never seem to have the time to even check e-mail anymore never mind post, guess you could say I've become a permanent lurker! By the way does anyone know what has happened to Judie & Tess? I always look out for their posts but I haven't seen anything from them for ages. I'm still in remission and making sure that I enjoy every minute of it - sometimes it's scary to think it might not last but at least I'm living it up to the max while I can! Loads on the go this year, in May we had our second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st for those who don't know me) is jealous as can be but loves his baby brother to bits anyway! We are building our first house and I'm studying a therapist course in a fantastic method to help people stop smoking - it's lots more fun than it sounds and I'm loving my course - I will start treating people in January and I can't wait as it really combines my dream of working for myself and helping people at the same time. I haven't really had time to read posts but have noticed that there have been quiet a few related to pregnancy and RA lately and thought my little story might give anyone trying some hope so here goes! I was diagnosed with RA when I was 25(which is also when I joined the group) I'm 31 now (Yikes time flies!). When I found out I had RA I had already been trying to fall pregnant for about 2 years and as I was in major flare for a long time the doctors told me to " Hurry up " so I could start the DMARDS (this was easier said than done as I have endometriosis). I was put on Prednisone while I was trying to fall pregnant as my Rheumy said that the NSAIDs were out (I believe she said it was because they have a miscarriage risk) and so were the DMARD's (although my Rheumy has since told me that many Lupus sufferers stay on Plaquenil when pregnant so??). The Prednisone worked very well and I was on it exclusively for over 2 years before I finally fell pregnant. I continued to take the Prednisone at lower and lower doses until I was 7 months pregnant at which time I tapered off completely and enjoyed a full remission which was fantastic! Just after I stopped the prednisone the baby stopped growing. We picked this up when I was 7 1/2 months pregnant and the end was very worrying as he just didn't gain weight. My Gynae thought this was caused by the RA although I never did understand why and have never read anything about this happening because of RA, I also did my own research and read that Prednisone could cause growth retardation so who knows. I do remember there being a discussion here about RA and small babies ages ago. Finally at 8 months, a week before the doctor was going to induce me because of the growth problem, my waters broke and I gave birth to a premature and small (2.3 Kgs) but healthy baby. He had slight respitory distress at birth and we spent 10 days in hospital with him in an incubator but he was absolutely fine after that and is now a very healthy, VERY energetic 3 1/2 year old! Within a week after Fabien (my 1st little boy) was born old Arthur made a comeback and I went into a flare. All the doctors were adamant that I stop breastfeeding and start the DMARDS immediately but I just couldn't cope with that idea (I'm a little stubborn ;-) After crying on my Rheumy's shoulder (she was actually a breastfeeding mom herself at the time so was very understanding) we decided to try and get the flare under control with Voltaren (she felt it would be OK for the baby although I've since been recommended " Nifluril " as it is apparently better for breastfeeding mothers) and she also ordered me to get as much rest as possible. She thought I would last a few weeks like that before I would have to start the meds - I ended up breastfeeding him for over 2 years until I was pregnant with my second! Fabien is now 3 1/2 years old and a very healthy, happy little boy. I have been in remission for ages now with a few small/medium flares for the first year after he was born which I managed to get under control with rest and Voltaren. I think one of the best things I did was to stop working full time so that I am far less tired and stressed than before (don't worry I do realise how blessed I am to have been able to do that and that for many giving up work just isn't an option!) I noticed a direct correlation between the amount of stress I had and the flares and now if I start getting any of the warning signs a flare is on the way (major fatigue or any stiffness) I just push the " STOP " button and rest as much as I can (easier said than done as now have 2 boys but i've learn't the hard way that when my body says stop it means it!). I've joined a gym, taken up a weekly meditation class and eat healthier which I'm sure all helps but realise that I am also just very very lucky! Six months ago I had another beautiful little boy " Logan " he was born at term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare during the pregnancy as I contracted " Chikungunya " which is a viral disease transmitted by mosquitos. Besides a variety of other pretty awful symptoms it puts you into something which is pretty much exactly like a full on RA Flare. Thank God it didn't affect the baby but I was back to being granny Heidi(no offense to our real grannies but you know what I mean ;-)for about 3 months - I was terrified that this would mark the end of my remission as the joint pain can become chronic and last over 3 years even in people who don't have RA and it is known to trigger off dormant RA in patients who have it. Once again I was blessed and after 3 months of hobbling around I started having premature contractions at 34weeks (no that wasn't the blessing part - actually scary but it worked out well so can laugh now ha!) I was given an injection of cortisone for the baby's lungs and spent a week in clinic - I eventually went to term but the cortisone zapped the joint pain and I am still doing great 7 months later! I am once again breastfeeding and loving it and Arthur is still in sweet remission. I still have the odd mini flare when I am over stressed or tired but they are less and less and very easy to control by just taking it easy and maybe a few days of anti-inflammatories. For now I'm feeling very blessed and lucky for this respite from nasty old Arthur, enjoying every second of my remission and praying that it will last forever! It would be very interesting to know if the breastfeeding has contributed to the remission, /a any comments there? (((((((((Special hugs to you guys!))))))))))) So that's my story! I wish any of you trying for a baby all the luck in the world, this group was a god send for me when I was going through all that. If you want to ask me any questions I'm here, although might take a little while to get back to you as don't switch on my computer every day at the moment! Otherwise just e-mail me directly. Lots of love to all my old friends here and hi to all the new members! Heidi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2006 Report Share Posted December 13, 2006 Congratulations on Logan, Heidi! That is such wonderful news. So glad that you are feeling so well now. Chikungunya is a new one for me; I'll be looking that up later, LOL. Sorry it gave you such a scare. Good luck with your smoking cessation endeavor. A worthy cause indeed. A new house, too. You must be thrilled - and busy, busy, busy. The research doesn't present a consensus on the effect of breastfeeding on rheumatoid arthritis (and is fairly scanty), but I think it makes more sense that breastfeeding would prolong remission. I would just enjoy it and hope it will last! Here are some articles that are related to your question: ***************************************************** Arthritis Rheum. 2004 Nov;50(11):3458-67. Do breast-feeding and other reproductive factors influence future risk of rheumatoid arthritis? Results from the Nurses' Health Study. Brigham and Women's Hospital, Harvard Medical School, and Harvard School of Public Health, 75 Francis Street, Boston, MA 02115, USA. ekarlson@... OBJECTIVE: To explore the contribution of female hormonal factors occurring prior to the onset of rheumatoid arthritis (RA), such as age at menarche, parity, age at first birth, breast-feeding, use of oral contraceptives (OCs), irregular menstrual cycles, and postmenopausal hormone (PMH) use, to the subsequent development of RA in a large female cohort. METHODS: We studied female reproductive and hormonal risk factors for RA in a cohort of 121,700 women enrolled in the longitudinal Nurses' Health Study. The diagnosis of incident RA (between 1976 and 2002) in 674 women was confirmed by a connective tissue disease screening questionnaire and blinded medical record review for American College of Rheumatology criteria. Sixty percent of the patients with RA were rheumatoid factor positive. The relationship between potential risk factors, including age, age at menarche, parity, age at first birth, total lifetime history of breast-feeding, use of OCs, and irregular menstrual cycles and the multivariate-adjusted risk of RA was estimated using proportional hazards models. RESULTS: Using a multivariate model that adjusted for age, body mass index, smoking, parity, and other hormonal factors, we observed a strong trend for decreasing risk of RA with increasing duration of breast-feeding (P for trend = 0.001). For women who breast-fed (compared with parous women who did not breast-feed), the risk ratios (RRs) and 95% confidence intervals (95% CIs) were as follows: breast-feeding for < or =3 total months, RR 1.0 (95% confidence interval [95% CI] 0.8-1.2); for 4-11 total months, RR 0.9 (95% CI 0.7-1.1); for 12-23 total months, RR 0.8 (95% CI 0.6-1.0); and for > or =24 total months, RR 0.5 (95% CI 0.3-0.8). Very irregular menstrual cycles were associated with an increased risk of RA (RR 1.4, 95% CI 1.0-2.0). Age at menarche < or =10 years was associated with an increased risk of seropositive RA (RR 1.6, 95% CI 1.1-2.4) but not significantly associated with risk of RA. Parity, total number of children, age at first birth, and OC use were not associated with an increased risk of RA in this cohort. CONCLUSION: In this large cohort, breast-feeding for >12 months was inversely related to the development of RA. This apparent effect was dose-dependent, with a significant trend toward lower risk with longer duration of breast-feeding. Irregular menstrual cycles and earlier age at menarche increased the risk of RA. Other reproductive hormonal factors were not associated with RA risk. PMID: 15529351 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=Abstra\ ctPlus & list_uids=15529351 ****************************************************** Arthritis Rheum. 2000 May;43(5):1010-5. Breast-feeding and postpartum relapse in women with rheumatoid and inflammatory arthritis. University of Manchester, UK. OBJECTIVE: To test the hypothesis that breast-feeding increases the risk of postpartum flare in inflammatory polyarthritis. METHODS: We compared disease activity during pregnancy and at 6 months postpartum among 49 non-breast-feeders, 38 first-time breast-feeders, and 50 repeat breast-feeders. RESULTS: After we adjusted for possible confounders, including treatment, first-time breast-feeders had increased disease activity 6 months postpartum, based on self-reported symptoms, joint counts, and C-reactive protein levels. CONCLUSION: Postpartum flare may be induced by breast-feeding. PMID: 10817553 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_uids=1\ 0817553 ****************************************************** J Womens Health Gend Based Med. 2001 Sep;10(7):681-7. Links Cumulative duration of breast-feeding influences cortisol levels in postmenopausal women. Department of Family and Preventive Medicine, Division of Epidemiology, University of California, San Diego, School of Medicine, La Jolla, California 92092-0607, USA. Cortisol levels dramatically increase during pregnancy, peak at birth, and subsequently decline. However, all previous studies examined women during pregnancy and early postpartum. None examined the long-term association of parity and lactation with cortisol levels. We examined the relation of reproductive history to cortisol levels in postmenopausal women. Subjects were 749 women, aged 50-89, who were not using estrogen in 1984-1987 when morning cortisol was measured. Parity was not significantly associated with cortisol. However, women who breast-fed for >12 months had significantly higher cortisol levels than women who breast-fed for shorter durations or not at all (p = 0.003). This association was stronger among women with three or more births. Duration of breast-feeding is a determinant of cortisol levels in postmenopausal women. Because both increased cortisol and increased duration of breast-feeding may play protective roles in certain autoimmune diseases, such as rheumatoid arthritis, we suggest that the beneficial effect of lactation on the course of these diseases may be mediated by cortisol. PMID: 11571098 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=Abstra\ ctPlus & list_uids=11571098 ****************************************************** Arthritis Rheum. 1999 Jun;42(6):1219-27. Does rheumatoid arthritis remit during pregnancy and relapse postpartum? Results from a nationwide study in the United Kingdom performed prospectively from late pregnancy. Barrett JH, Brennan P, Fiddler M, Silman AJ. Arthritis Research Campaign Epidemiology Unit, University of Manchester, UK. OBJECTIVE: To ascertain the influence of pregnancy on disease activity in women with rheumatoid arthritis (RA) during pregnancy and postpartum. METHODS: One hundred forty pregnant women were recruited from a nationwide campaign and were followed prospectively in the last trimester and at 1 and 6 months postpartum. Standardized assessment of joint symptoms, examination of inflamed joints, and the Health Assessment Questionnaire (HAQ) were the main measures of disease activity. RESULTS: There was only a modest fall in HAQ scores during pregnancy, with >25% of women having substantial levels of disability. Other parameters of disease activity showed a greater trend toward improvement, although only 23 (16%) were in complete remission (no joints with active disease and no therapy). Similarly, there was relatively little change in the distribution of HAQ scores from pregnancy to postpartum. There was, however, a statistically significant increase in the mean number of inflamed joints compared with the findings during pregnancy. Analysis of the possible influence of treatment suggested that therapy was associated with more severe disease and was not related to reduction in disease activity. CONCLUSION: This, the largest prospective study of the influence of pregnancy on RA activity, has demonstrated widespread variability in disease response. PMID: 10366115 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_uids=1\ 0366115 ****************************************************** Not an MD I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org [ ] RA & Pregnancey & Catch up. Long! > Hi there everyone! > > It's been ages since I last posted and most of you might not know me, > there > are so many new faces - welcome by the way! To all my old friends > ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my > life is so crazy at the moment I never seem to have the time to even check > e-mail anymore never mind post, guess you could say I've become a > permanent > lurker! By the way does anyone know what has happened to Judie & Tess? I > always look out for their posts but I haven't seen anything from them for > ages. > > I'm still in remission and making sure that I enjoy every minute of it - > sometimes it's scary to think it might not last but at least I'm living it > up to the max while I can! Loads on the go this year, in May we had our > second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st > for those who don't know me) is jealous as can be but loves his baby > brother > to bits anyway! We are building our first house and I'm studying a > therapist course in a fantastic method to help people stop smoking - it's > lots more fun than it sounds and I'm loving my course - I will start > treating people in January and I can't wait as it really combines my dream > of working for myself and helping people at the same time. > > I haven't really had time to read posts but have noticed that there have > been quiet a few related to pregnancy and RA lately and thought my little > story might give anyone trying some hope so here goes! > > I was diagnosed with RA when I was 25(which is also when I joined the > group) > I'm 31 now (Yikes time flies!). When I found out I had RA I had already > been trying to fall pregnant for about 2 years and as I was in major > flare > for a long time the doctors told me to " Hurry up " so I could start the > DMARDS (this was easier said than done as I have endometriosis). I was > put > on Prednisone while I was trying to fall pregnant as my Rheumy said that > the > NSAIDs were out (I believe she said it was because they have a miscarriage > risk) and so were the DMARD's (although my Rheumy has since told me that > many Lupus sufferers stay on Plaquenil when pregnant so??). The > Prednisone > worked very well and I was on it exclusively for over 2 years before I > finally fell pregnant. I continued to take the Prednisone at lower and > lower doses until I was 7 months pregnant at which time I tapered off > completely and enjoyed a full remission which was fantastic! > > Just after I stopped the prednisone the baby stopped growing. We picked > this up when I was 7 1/2 months pregnant and the end was very worrying as > he > just didn't gain weight. My Gynae thought this was caused by the RA > although I never did understand why and have never read anything about > this > happening because of RA, I also did my own research and read that > Prednisone > could cause growth retardation so who knows. I do remember there being a > discussion here about RA and small babies ages ago. Finally at 8 months, > a > week before the doctor was going to induce me because of the growth > problem, > my waters broke and I gave birth to a premature and small (2.3 Kgs) but > healthy baby. He had slight respitory distress at birth and we spent 10 > days in hospital with him in an incubator but he was absolutely fine after > that and is now a very healthy, VERY energetic 3 1/2 year old! > > Within a week after Fabien (my 1st little boy) was born old Arthur made a > comeback and I went into a flare. All the doctors were adamant that I > stop > breastfeeding and start the DMARDS immediately but I just couldn't cope > with > that idea (I'm a little stubborn ;-) After crying on my Rheumy's > shoulder > (she was actually a breastfeeding mom herself at the time so was very > understanding) we decided to try and get the flare under control with > Voltaren (she felt it would be OK for the baby although I've since been > recommended " Nifluril " as it is apparently better for breastfeeding > mothers) > and she also ordered me to get as much rest as possible. She thought I > would last a few weeks like that before I would have to start the meds - I > ended up breastfeeding him for over 2 years until I was pregnant with my > second! Fabien is now 3 1/2 years old and a very healthy, happy little > boy. > I have been in remission for ages now with a few small/medium flares for > the > first year after he was born which I managed to get under control with > rest > and Voltaren. I think one of the best things I did was to stop working > full time so that I am far less tired and stressed than before (don't > worry > I do realise how blessed I am to have been able to do that and that for > many > giving up work just isn't an option!) I noticed a direct correlation > between > the amount of stress I had and the flares and now if I start getting any > of > the warning signs a flare is on the way (major fatigue or any stiffness) I > just push the " STOP " button and rest as much as I can (easier said than > done > as now have 2 boys but i've learn't the hard way that when my body says > stop > it means it!). I've joined a gym, taken up a weekly meditation class and > eat > healthier which I'm sure all helps but realise that I am also just very > very > lucky! > > Six months ago I had another beautiful little boy " Logan " he was born at > term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare > during > the pregnancy as I contracted " Chikungunya " which is a viral disease > transmitted by mosquitos. Besides a variety of other pretty awful > symptoms > it puts you into something which is pretty much exactly like a full on RA > Flare. Thank God it didn't affect the baby but I was back to being granny > Heidi(no offense to our real grannies but you know what I mean ;-)for > about > 3 months - I was terrified that this would mark the end of my remission as > the joint pain can become chronic and last over 3 years even in people who > don't have RA and it is known to trigger off dormant RA in patients who > have > it. Once again I was blessed and after 3 months of hobbling around I > started having premature contractions at 34weeks (no that wasn't the > blessing part - actually scary but it worked out well so can laugh now > ha!) > I was given an injection of cortisone for the baby's lungs and spent a > week > in clinic - I eventually went to term but the cortisone zapped the joint > pain and I am still doing great 7 months later! > > I am once again breastfeeding and loving it and Arthur is still in sweet > remission. I still have the odd mini flare when I am over stressed or > tired > but they are less and less and very easy to control by just taking it easy > and maybe a few days of anti-inflammatories. > > For now I'm feeling very blessed and lucky for this respite from nasty old > Arthur, enjoying every second of my remission and praying that it will > last > forever! It would be very interesting to know if the breastfeeding has > contributed to the remission, /a any comments there? > (((((((((Special hugs to you guys!))))))))))) > > So that's my story! I wish any of you trying for a baby all the luck in > the > world, this group was a god send for me when I was going through all that. > If you want to ask me any questions I'm here, although might take a little > while to get back to you as don't switch on my computer every day at the > moment! Otherwise just e-mail me directly. > > Lots of love to all my old friends here and hi to all the new members! > > Heidi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2006 Report Share Posted December 13, 2006 Hi ! As usual you are a veritable fountain of knowledge! Thanks for that, confusing but interesting! ;-) Thought your interest would be peaked by the " Chikungunya " - sounds pretty exotic hey! It unfortunately is and wasn't fun at all but apparently once you've had it you're immune so at least there's that! We had a major outbreak of it this year in Mauritius, our neighbour Reunion island was much worse hit though. They think it came over with travellers from the Commore islands where they recently had an outbreak. First time we've had it here but it's a hard one to get rid of as you've got to try and kill the vector - which is a particular breed of mosquito - of which, being a tropical island, we have plenty! They eradicated malaria here though so there's hope. Only good thing about it is a whole new appreciation around me for how it feels to have RA, now all I have to say is " Have you had Chikungunya? " usual response if yes " thought I was dying, never been in such terrible pain, had a major depression because I couldn't do anything anymore etc. etc " So I just tell them it's like that but ALL THE TIME, unless you are in remission... The first few days are awful; high fever, terrible raised rash and my skin was very sensitive and painful to the slightest touch, hugely swollen ankles after that Ãt's very similar to RA though, the stiffness, painful but not as swollen joints, fatigue - all there - but the bloodwork doesn't come out the same - or at least mine didn't. The RA effect is an immune response caused by the body fighting the virus rather than the effect of the virus itself. Where is a by the way? Don't seem to recall seeing anything from her for a while, but I haven't really been keeping up. Do you have any news of Tess and Judi? How are you keeping? Hugs, Heidi Re: [ ] RA & Pregnancey & Catch up. Long! Congratulations on Logan, Heidi! That is such wonderful news. So glad that you are feeling so well now. Chikungunya is a new one for me; I'll be looking that up later, LOL. Sorry it gave you such a scare. Good luck with your smoking cessation endeavor. A worthy cause indeed. A new house, too. You must be thrilled - and busy, busy, busy. The research doesn't present a consensus on the effect of breastfeeding on rheumatoid arthritis (and is fairly scanty), but I think it makes more sense that breastfeeding would prolong remission. I would just enjoy it and hope it will last! Here are some articles that are related to your question: ***************************************************** Arthritis Rheum. 2004 Nov;50(11):3458-67. Do breast-feeding and other reproductive factors influence future risk of rheumatoid arthritis? Results from the Nurses' Health Study. Brigham and Women's Hospital, Harvard Medical School, and Harvard School of Public Health, 75 Francis Street, Boston, MA 02115, USA. ekarlson@... OBJECTIVE: To explore the contribution of female hormonal factors occurring prior to the onset of rheumatoid arthritis (RA), such as age at menarche, parity, age at first birth, breast-feeding, use of oral contraceptives (OCs), irregular menstrual cycles, and postmenopausal hormone (PMH) use, to the subsequent development of RA in a large female cohort. METHODS: We studied female reproductive and hormonal risk factors for RA in a cohort of 121,700 women enrolled in the longitudinal Nurses' Health Study. The diagnosis of incident RA (between 1976 and 2002) in 674 women was confirmed by a connective tissue disease screening questionnaire and blinded medical record review for American College of Rheumatology criteria. Sixty percent of the patients with RA were rheumatoid factor positive. The relationship between potential risk factors, including age, age at menarche, parity, age at first birth, total lifetime history of breast-feeding, use of OCs, and irregular menstrual cycles and the multivariate-adjusted risk of RA was estimated using proportional hazards models. RESULTS: Using a multivariate model that adjusted for age, body mass index, smoking, parity, and other hormonal factors, we observed a strong trend for decreasing risk of RA with increasing duration of breast-feeding (P for trend = 0.001). For women who breast-fed (compared with parous women who did not breast-feed), the risk ratios (RRs) and 95% confidence intervals (95% CIs) were as follows: breast-feeding for < or =3 total months, RR 1.0 (95% confidence interval [95% CI] 0.8-1.2); for 4-11 total months, RR 0.9 (95% CI 0.7-1.1); for 12-23 total months, RR 0.8 (95% CI 0.6-1.0); and for > or =24 total months, RR 0.5 (95% CI 0.3-0.8). Very irregular menstrual cycles were associated with an increased risk of RA (RR 1.4, 95% CI 1.0-2.0). Age at menarche < or =10 years was associated with an increased risk of seropositive RA (RR 1.6, 95% CI 1.1-2.4) but not significantly associated with risk of RA. Parity, total number of children, age at first birth, and OC use were not associated with an increased risk of RA in this cohort. CONCLUSION: In this large cohort, breast-feeding for >12 months was inversely related to the development of RA. This apparent effect was dose-dependent, with a significant trend toward lower risk with longer duration of breast-feeding. Irregular menstrual cycles and earlier age at menarche increased the risk of RA. Other reproductive hormonal factors were not associated with RA risk. PMID: 15529351 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt= AbstractPlus & list_uids=15529351 ****************************************************** Arthritis Rheum. 2000 May;43(5):1010-5. Breast-feeding and postpartum relapse in women with rheumatoid and inflammatory arthritis. University of Manchester, UK. OBJECTIVE: To test the hypothesis that breast-feeding increases the risk of postpartum flare in inflammatory polyarthritis. METHODS: We compared disease activity during pregnancy and at 6 months postpartum among 49 non-breast-feeders, 38 first-time breast-feeders, and 50 repeat breast-feeders. RESULTS: After we adjusted for possible confounders, including treatment, first-time breast-feeders had increased disease activity 6 months postpartum, based on self-reported symptoms, joint counts, and C-reactive protein levels. CONCLUSION: Postpartum flare may be induced by breast-feeding. PMID: 10817553 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_ uids=10817553 ****************************************************** J Womens Health Gend Based Med. 2001 Sep;10(7):681-7. Links Cumulative duration of breast-feeding influences cortisol levels in postmenopausal women. Department of Family and Preventive Medicine, Division of Epidemiology, University of California, San Diego, School of Medicine, La Jolla, California 92092-0607, USA. Cortisol levels dramatically increase during pregnancy, peak at birth, and subsequently decline. However, all previous studies examined women during pregnancy and early postpartum. None examined the long-term association of parity and lactation with cortisol levels. We examined the relation of reproductive history to cortisol levels in postmenopausal women. Subjects were 749 women, aged 50-89, who were not using estrogen in 1984-1987 when morning cortisol was measured. Parity was not significantly associated with cortisol. However, women who breast-fed for >12 months had significantly higher cortisol levels than women who breast-fed for shorter durations or not at all (p = 0.003). This association was stronger among women with three or more births. Duration of breast-feeding is a determinant of cortisol levels in postmenopausal women. Because both increased cortisol and increased duration of breast-feeding may play protective roles in certain autoimmune diseases, such as rheumatoid arthritis, we suggest that the beneficial effect of lactation on the course of these diseases may be mediated by cortisol. PMID: 11571098 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt= AbstractPlus & list_uids=11571098 ****************************************************** Arthritis Rheum. 1999 Jun;42(6):1219-27. Does rheumatoid arthritis remit during pregnancy and relapse postpartum? Results from a nationwide study in the United Kingdom performed prospectively from late pregnancy. Barrett JH, Brennan P, Fiddler M, Silman AJ. Arthritis Research Campaign Epidemiology Unit, University of Manchester, UK. OBJECTIVE: To ascertain the influence of pregnancy on disease activity in women with rheumatoid arthritis (RA) during pregnancy and postpartum. METHODS: One hundred forty pregnant women were recruited from a nationwide campaign and were followed prospectively in the last trimester and at 1 and 6 months postpartum. Standardized assessment of joint symptoms, examination of inflamed joints, and the Health Assessment Questionnaire (HAQ) were the main measures of disease activity. RESULTS: There was only a modest fall in HAQ scores during pregnancy, with >25% of women having substantial levels of disability. Other parameters of disease activity showed a greater trend toward improvement, although only 23 (16%) were in complete remission (no joints with active disease and no therapy). Similarly, there was relatively little change in the distribution of HAQ scores from pregnancy to postpartum. There was, however, a statistically significant increase in the mean number of inflamed joints compared with the findings during pregnancy. Analysis of the possible influence of treatment suggested that therapy was associated with more severe disease and was not related to reduction in disease activity. CONCLUSION: This, the largest prospective study of the influence of pregnancy on RA activity, has demonstrated widespread variability in disease response. PMID: 10366115 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_ uids=10366115 ****************************************************** Not an MD I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org [ ] RA & Pregnancey & Catch up. Long! > Hi there everyone! > > It's been ages since I last posted and most of you might not know me, > there > are so many new faces - welcome by the way! To all my old friends > ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my > life is so crazy at the moment I never seem to have the time to even check > e-mail anymore never mind post, guess you could say I've become a > permanent > lurker! By the way does anyone know what has happened to Judie & Tess? I > always look out for their posts but I haven't seen anything from them for > ages. > > I'm still in remission and making sure that I enjoy every minute of it - > sometimes it's scary to think it might not last but at least I'm living it > up to the max while I can! Loads on the go this year, in May we had our > second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st > for those who don't know me) is jealous as can be but loves his baby > brother > to bits anyway! We are building our first house and I'm studying a > therapist course in a fantastic method to help people stop smoking - it's > lots more fun than it sounds and I'm loving my course - I will start > treating people in January and I can't wait as it really combines my dream > of working for myself and helping people at the same time. > > I haven't really had time to read posts but have noticed that there have > been quiet a few related to pregnancy and RA lately and thought my little > story might give anyone trying some hope so here goes! > > I was diagnosed with RA when I was 25(which is also when I joined the > group) > I'm 31 now (Yikes time flies!). When I found out I had RA I had already > been trying to fall pregnant for about 2 years and as I was in major > flare > for a long time the doctors told me to " Hurry up " so I could start the > DMARDS (this was easier said than done as I have endometriosis). I was > put > on Prednisone while I was trying to fall pregnant as my Rheumy said that > the > NSAIDs were out (I believe she said it was because they have a miscarriage > risk) and so were the DMARD's (although my Rheumy has since told me that > many Lupus sufferers stay on Plaquenil when pregnant so??). The > Prednisone > worked very well and I was on it exclusively for over 2 years before I > finally fell pregnant. I continued to take the Prednisone at lower and > lower doses until I was 7 months pregnant at which time I tapered off > completely and enjoyed a full remission which was fantastic! > > Just after I stopped the prednisone the baby stopped growing. We picked > this up when I was 7 1/2 months pregnant and the end was very worrying as > he > just didn't gain weight. My Gynae thought this was caused by the RA > although I never did understand why and have never read anything about > this > happening because of RA, I also did my own research and read that > Prednisone > could cause growth retardation so who knows. I do remember there being a > discussion here about RA and small babies ages ago. Finally at 8 months, > a > week before the doctor was going to induce me because of the growth > problem, > my waters broke and I gave birth to a premature and small (2.3 Kgs) but > healthy baby. He had slight respitory distress at birth and we spent 10 > days in hospital with him in an incubator but he was absolutely fine after > that and is now a very healthy, VERY energetic 3 1/2 year old! > > Within a week after Fabien (my 1st little boy) was born old Arthur made a > comeback and I went into a flare. All the doctors were adamant that I > stop > breastfeeding and start the DMARDS immediately but I just couldn't cope > with > that idea (I'm a little stubborn ;-) After crying on my Rheumy's > shoulder > (she was actually a breastfeeding mom herself at the time so was very > understanding) we decided to try and get the flare under control with > Voltaren (she felt it would be OK for the baby although I've since been > recommended " Nifluril " as it is apparently better for breastfeeding > mothers) > and she also ordered me to get as much rest as possible. She thought I > would last a few weeks like that before I would have to start the meds - I > ended up breastfeeding him for over 2 years until I was pregnant with my > second! Fabien is now 3 1/2 years old and a very healthy, happy little > boy. > I have been in remission for ages now with a few small/medium flares for > the > first year after he was born which I managed to get under control with > rest > and Voltaren. I think one of the best things I did was to stop working > full time so that I am far less tired and stressed than before (don't > worry > I do realise how blessed I am to have been able to do that and that for > many > giving up work just isn't an option!) I noticed a direct correlation > between > the amount of stress I had and the flares and now if I start getting any > of > the warning signs a flare is on the way (major fatigue or any stiffness) I > just push the " STOP " button and rest as much as I can (easier said than > done > as now have 2 boys but i've learn't the hard way that when my body says > stop > it means it!). I've joined a gym, taken up a weekly meditation class and > eat > healthier which I'm sure all helps but realise that I am also just very > very > lucky! > > Six months ago I had another beautiful little boy " Logan " he was born at > term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare > during > the pregnancy as I contracted " Chikungunya " which is a viral disease > transmitted by mosquitos. Besides a variety of other pretty awful > symptoms > it puts you into something which is pretty much exactly like a full on RA > Flare. Thank God it didn't affect the baby but I was back to being granny > Heidi(no offense to our real grannies but you know what I mean ;-)for > about > 3 months - I was terrified that this would mark the end of my remission as > the joint pain can become chronic and last over 3 years even in people who > don't have RA and it is known to trigger off dormant RA in patients who > have > it. Once again I was blessed and after 3 months of hobbling around I > started having premature contractions at 34weeks (no that wasn't the > blessing part - actually scary but it worked out well so can laugh now > ha!) > I was given an injection of cortisone for the baby's lungs and spent a > week > in clinic - I eventually went to term but the cortisone zapped the joint > pain and I am still doing great 7 months later! > > I am once again breastfeeding and loving it and Arthur is still in sweet > remission. I still have the odd mini flare when I am over stressed or > tired > but they are less and less and very easy to control by just taking it easy > and maybe a few days of anti-inflammatories. > > For now I'm feeling very blessed and lucky for this respite from nasty old > Arthur, enjoying every second of my remission and praying that it will > last > forever! It would be very interesting to know if the breastfeeding has > contributed to the remission, /a any comments there? > (((((((((Special hugs to you guys!))))))))))) > > So that's my story! I wish any of you trying for a baby all the luck in > the > world, this group was a god send for me when I was going through all that. > If you want to ask me any questions I'm here, although might take a little > while to get back to you as don't switch on my computer every day at the > moment! Otherwise just e-mail me directly. > > Lots of love to all my old friends here and hi to all the new members! > > Heidi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2006 Report Share Posted December 13, 2006 Hi ! As usual you are a veritable fountain of knowledge! Thanks for that, confusing but interesting! ;-) Thought your interest would be peaked by the " Chikungunya " - sounds pretty exotic hey! It unfortunately is and wasn't fun at all but apparently once you've had it you're immune so at least there's that! We had a major outbreak of it this year in Mauritius, our neighbour Reunion island was much worse hit though. They think it came over with travellers from the Commore islands where they recently had an outbreak. First time we've had it here but it's a hard one to get rid of as you've got to try and kill the vector - which is a particular breed of mosquito - of which, being a tropical island, we have plenty! They eradicated malaria here though so there's hope. Only good thing about it is a whole new appreciation around me for how it feels to have RA, now all I have to say is " Have you had Chikungunya? " usual response if yes " thought I was dying, never been in such terrible pain, had a major depression because I couldn't do anything anymore etc. etc " So I just tell them it's like that but ALL THE TIME, unless you are in remission... The first few days are awful; high fever, terrible raised rash and my skin was very sensitive and painful to the slightest touch, hugely swollen ankles after that Ãt's very similar to RA though, the stiffness, painful but not as swollen joints, fatigue - all there - but the bloodwork doesn't come out the same - or at least mine didn't. The RA effect is an immune response caused by the body fighting the virus rather than the effect of the virus itself. Where is a by the way? Don't seem to recall seeing anything from her for a while, but I haven't really been keeping up. Do you have any news of Tess and Judi? How are you keeping? Hugs, Heidi Re: [ ] RA & Pregnancey & Catch up. Long! Congratulations on Logan, Heidi! That is such wonderful news. So glad that you are feeling so well now. Chikungunya is a new one for me; I'll be looking that up later, LOL. Sorry it gave you such a scare. Good luck with your smoking cessation endeavor. A worthy cause indeed. A new house, too. You must be thrilled - and busy, busy, busy. The research doesn't present a consensus on the effect of breastfeeding on rheumatoid arthritis (and is fairly scanty), but I think it makes more sense that breastfeeding would prolong remission. I would just enjoy it and hope it will last! Here are some articles that are related to your question: ***************************************************** Arthritis Rheum. 2004 Nov;50(11):3458-67. Do breast-feeding and other reproductive factors influence future risk of rheumatoid arthritis? Results from the Nurses' Health Study. Brigham and Women's Hospital, Harvard Medical School, and Harvard School of Public Health, 75 Francis Street, Boston, MA 02115, USA. ekarlson@... OBJECTIVE: To explore the contribution of female hormonal factors occurring prior to the onset of rheumatoid arthritis (RA), such as age at menarche, parity, age at first birth, breast-feeding, use of oral contraceptives (OCs), irregular menstrual cycles, and postmenopausal hormone (PMH) use, to the subsequent development of RA in a large female cohort. METHODS: We studied female reproductive and hormonal risk factors for RA in a cohort of 121,700 women enrolled in the longitudinal Nurses' Health Study. The diagnosis of incident RA (between 1976 and 2002) in 674 women was confirmed by a connective tissue disease screening questionnaire and blinded medical record review for American College of Rheumatology criteria. Sixty percent of the patients with RA were rheumatoid factor positive. The relationship between potential risk factors, including age, age at menarche, parity, age at first birth, total lifetime history of breast-feeding, use of OCs, and irregular menstrual cycles and the multivariate-adjusted risk of RA was estimated using proportional hazards models. RESULTS: Using a multivariate model that adjusted for age, body mass index, smoking, parity, and other hormonal factors, we observed a strong trend for decreasing risk of RA with increasing duration of breast-feeding (P for trend = 0.001). For women who breast-fed (compared with parous women who did not breast-feed), the risk ratios (RRs) and 95% confidence intervals (95% CIs) were as follows: breast-feeding for < or =3 total months, RR 1.0 (95% confidence interval [95% CI] 0.8-1.2); for 4-11 total months, RR 0.9 (95% CI 0.7-1.1); for 12-23 total months, RR 0.8 (95% CI 0.6-1.0); and for > or =24 total months, RR 0.5 (95% CI 0.3-0.8). Very irregular menstrual cycles were associated with an increased risk of RA (RR 1.4, 95% CI 1.0-2.0). Age at menarche < or =10 years was associated with an increased risk of seropositive RA (RR 1.6, 95% CI 1.1-2.4) but not significantly associated with risk of RA. Parity, total number of children, age at first birth, and OC use were not associated with an increased risk of RA in this cohort. CONCLUSION: In this large cohort, breast-feeding for >12 months was inversely related to the development of RA. This apparent effect was dose-dependent, with a significant trend toward lower risk with longer duration of breast-feeding. Irregular menstrual cycles and earlier age at menarche increased the risk of RA. Other reproductive hormonal factors were not associated with RA risk. PMID: 15529351 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt= AbstractPlus & list_uids=15529351 ****************************************************** Arthritis Rheum. 2000 May;43(5):1010-5. Breast-feeding and postpartum relapse in women with rheumatoid and inflammatory arthritis. University of Manchester, UK. OBJECTIVE: To test the hypothesis that breast-feeding increases the risk of postpartum flare in inflammatory polyarthritis. METHODS: We compared disease activity during pregnancy and at 6 months postpartum among 49 non-breast-feeders, 38 first-time breast-feeders, and 50 repeat breast-feeders. RESULTS: After we adjusted for possible confounders, including treatment, first-time breast-feeders had increased disease activity 6 months postpartum, based on self-reported symptoms, joint counts, and C-reactive protein levels. CONCLUSION: Postpartum flare may be induced by breast-feeding. PMID: 10817553 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_ uids=10817553 ****************************************************** J Womens Health Gend Based Med. 2001 Sep;10(7):681-7. Links Cumulative duration of breast-feeding influences cortisol levels in postmenopausal women. Department of Family and Preventive Medicine, Division of Epidemiology, University of California, San Diego, School of Medicine, La Jolla, California 92092-0607, USA. Cortisol levels dramatically increase during pregnancy, peak at birth, and subsequently decline. However, all previous studies examined women during pregnancy and early postpartum. None examined the long-term association of parity and lactation with cortisol levels. We examined the relation of reproductive history to cortisol levels in postmenopausal women. Subjects were 749 women, aged 50-89, who were not using estrogen in 1984-1987 when morning cortisol was measured. Parity was not significantly associated with cortisol. However, women who breast-fed for >12 months had significantly higher cortisol levels than women who breast-fed for shorter durations or not at all (p = 0.003). This association was stronger among women with three or more births. Duration of breast-feeding is a determinant of cortisol levels in postmenopausal women. Because both increased cortisol and increased duration of breast-feeding may play protective roles in certain autoimmune diseases, such as rheumatoid arthritis, we suggest that the beneficial effect of lactation on the course of these diseases may be mediated by cortisol. PMID: 11571098 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt= AbstractPlus & list_uids=11571098 ****************************************************** Arthritis Rheum. 1999 Jun;42(6):1219-27. Does rheumatoid arthritis remit during pregnancy and relapse postpartum? Results from a nationwide study in the United Kingdom performed prospectively from late pregnancy. Barrett JH, Brennan P, Fiddler M, Silman AJ. Arthritis Research Campaign Epidemiology Unit, University of Manchester, UK. OBJECTIVE: To ascertain the influence of pregnancy on disease activity in women with rheumatoid arthritis (RA) during pregnancy and postpartum. METHODS: One hundred forty pregnant women were recruited from a nationwide campaign and were followed prospectively in the last trimester and at 1 and 6 months postpartum. Standardized assessment of joint symptoms, examination of inflamed joints, and the Health Assessment Questionnaire (HAQ) were the main measures of disease activity. RESULTS: There was only a modest fall in HAQ scores during pregnancy, with >25% of women having substantial levels of disability. Other parameters of disease activity showed a greater trend toward improvement, although only 23 (16%) were in complete remission (no joints with active disease and no therapy). Similarly, there was relatively little change in the distribution of HAQ scores from pregnancy to postpartum. There was, however, a statistically significant increase in the mean number of inflamed joints compared with the findings during pregnancy. Analysis of the possible influence of treatment suggested that therapy was associated with more severe disease and was not related to reduction in disease activity. CONCLUSION: This, the largest prospective study of the influence of pregnancy on RA activity, has demonstrated widespread variability in disease response. PMID: 10366115 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_ uids=10366115 ****************************************************** Not an MD I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org [ ] RA & Pregnancey & Catch up. Long! > Hi there everyone! > > It's been ages since I last posted and most of you might not know me, > there > are so many new faces - welcome by the way! To all my old friends > ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my > life is so crazy at the moment I never seem to have the time to even check > e-mail anymore never mind post, guess you could say I've become a > permanent > lurker! By the way does anyone know what has happened to Judie & Tess? I > always look out for their posts but I haven't seen anything from them for > ages. > > I'm still in remission and making sure that I enjoy every minute of it - > sometimes it's scary to think it might not last but at least I'm living it > up to the max while I can! Loads on the go this year, in May we had our > second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st > for those who don't know me) is jealous as can be but loves his baby > brother > to bits anyway! We are building our first house and I'm studying a > therapist course in a fantastic method to help people stop smoking - it's > lots more fun than it sounds and I'm loving my course - I will start > treating people in January and I can't wait as it really combines my dream > of working for myself and helping people at the same time. > > I haven't really had time to read posts but have noticed that there have > been quiet a few related to pregnancy and RA lately and thought my little > story might give anyone trying some hope so here goes! > > I was diagnosed with RA when I was 25(which is also when I joined the > group) > I'm 31 now (Yikes time flies!). When I found out I had RA I had already > been trying to fall pregnant for about 2 years and as I was in major > flare > for a long time the doctors told me to " Hurry up " so I could start the > DMARDS (this was easier said than done as I have endometriosis). I was > put > on Prednisone while I was trying to fall pregnant as my Rheumy said that > the > NSAIDs were out (I believe she said it was because they have a miscarriage > risk) and so were the DMARD's (although my Rheumy has since told me that > many Lupus sufferers stay on Plaquenil when pregnant so??). The > Prednisone > worked very well and I was on it exclusively for over 2 years before I > finally fell pregnant. I continued to take the Prednisone at lower and > lower doses until I was 7 months pregnant at which time I tapered off > completely and enjoyed a full remission which was fantastic! > > Just after I stopped the prednisone the baby stopped growing. We picked > this up when I was 7 1/2 months pregnant and the end was very worrying as > he > just didn't gain weight. My Gynae thought this was caused by the RA > although I never did understand why and have never read anything about > this > happening because of RA, I also did my own research and read that > Prednisone > could cause growth retardation so who knows. I do remember there being a > discussion here about RA and small babies ages ago. Finally at 8 months, > a > week before the doctor was going to induce me because of the growth > problem, > my waters broke and I gave birth to a premature and small (2.3 Kgs) but > healthy baby. He had slight respitory distress at birth and we spent 10 > days in hospital with him in an incubator but he was absolutely fine after > that and is now a very healthy, VERY energetic 3 1/2 year old! > > Within a week after Fabien (my 1st little boy) was born old Arthur made a > comeback and I went into a flare. All the doctors were adamant that I > stop > breastfeeding and start the DMARDS immediately but I just couldn't cope > with > that idea (I'm a little stubborn ;-) After crying on my Rheumy's > shoulder > (she was actually a breastfeeding mom herself at the time so was very > understanding) we decided to try and get the flare under control with > Voltaren (she felt it would be OK for the baby although I've since been > recommended " Nifluril " as it is apparently better for breastfeeding > mothers) > and she also ordered me to get as much rest as possible. She thought I > would last a few weeks like that before I would have to start the meds - I > ended up breastfeeding him for over 2 years until I was pregnant with my > second! Fabien is now 3 1/2 years old and a very healthy, happy little > boy. > I have been in remission for ages now with a few small/medium flares for > the > first year after he was born which I managed to get under control with > rest > and Voltaren. I think one of the best things I did was to stop working > full time so that I am far less tired and stressed than before (don't > worry > I do realise how blessed I am to have been able to do that and that for > many > giving up work just isn't an option!) I noticed a direct correlation > between > the amount of stress I had and the flares and now if I start getting any > of > the warning signs a flare is on the way (major fatigue or any stiffness) I > just push the " STOP " button and rest as much as I can (easier said than > done > as now have 2 boys but i've learn't the hard way that when my body says > stop > it means it!). I've joined a gym, taken up a weekly meditation class and > eat > healthier which I'm sure all helps but realise that I am also just very > very > lucky! > > Six months ago I had another beautiful little boy " Logan " he was born at > term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare > during > the pregnancy as I contracted " Chikungunya " which is a viral disease > transmitted by mosquitos. Besides a variety of other pretty awful > symptoms > it puts you into something which is pretty much exactly like a full on RA > Flare. Thank God it didn't affect the baby but I was back to being granny > Heidi(no offense to our real grannies but you know what I mean ;-)for > about > 3 months - I was terrified that this would mark the end of my remission as > the joint pain can become chronic and last over 3 years even in people who > don't have RA and it is known to trigger off dormant RA in patients who > have > it. Once again I was blessed and after 3 months of hobbling around I > started having premature contractions at 34weeks (no that wasn't the > blessing part - actually scary but it worked out well so can laugh now > ha!) > I was given an injection of cortisone for the baby's lungs and spent a > week > in clinic - I eventually went to term but the cortisone zapped the joint > pain and I am still doing great 7 months later! > > I am once again breastfeeding and loving it and Arthur is still in sweet > remission. I still have the odd mini flare when I am over stressed or > tired > but they are less and less and very easy to control by just taking it easy > and maybe a few days of anti-inflammatories. > > For now I'm feeling very blessed and lucky for this respite from nasty old > Arthur, enjoying every second of my remission and praying that it will > last > forever! It would be very interesting to know if the breastfeeding has > contributed to the remission, /a any comments there? > (((((((((Special hugs to you guys!))))))))))) > > So that's my story! I wish any of you trying for a baby all the luck in > the > world, this group was a god send for me when I was going through all that. > If you want to ask me any questions I'm here, although might take a little > while to get back to you as don't switch on my computer every day at the > moment! Otherwise just e-mail me directly. > > Lots of love to all my old friends here and hi to all the new members! > > Heidi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 16, 2006 Report Share Posted December 16, 2006 Heidi, You're most welcome. I looked chikungunya up. Not good. Sounds awful from both your description and what I read. But what a great idea to use it to teach others something about RA! I'm glad the baby wasn't affected. a is still here. She has had to attend to some urgent personal matters, so I've been trying to hold down the fort the best I can. Tess isn't participating right now. I haven't heard much from Judi since Ron's surgery. I hope they are both OK. I'm fine, thank you. Trying to keep the stress at bay with Christmas just a little over a week away. Would it be too Scrooge-like to say that I'll be happy when it's over? Not an MD I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org RE: [ ] RA & Pregnancey & Catch up. Long! Hi ! As usual you are a veritable fountain of knowledge! Thanks for that, confusing but interesting! ;-) Thought your interest would be peaked by the " Chikungunya " - sounds pretty exotic hey! It unfortunately is and wasn't fun at all but apparently once you've had it you're immune so at least there's that! We had a major outbreak of it this year in Mauritius, our neighbour Reunion island was much worse hit though. They think it came over with travellers from the Commore islands where they recently had an outbreak. First time we've had it here but it's a hard one to get rid of as you've got to try and kill the vector - which is a particular breed of mosquito - of which, being a tropical island, we have plenty! They eradicated malaria here though so there's hope. Only good thing about it is a whole new appreciation around me for how it feels to have RA, now all I have to say is " Have you had Chikungunya? " usual response if yes " thought I was dying, never been in such terrible pain, had a major depression because I couldn't do anything anymore etc. etc " So I just tell them it's like that but ALL THE TIME, unless you are in remission... The first few days are awful; high fever, terrible raised rash and my skin was very sensitive and painful to the slightest touch, hugely swollen ankles after that Ãt's very similar to RA though, the stiffness, painful but not as swollen joints, fatigue - all there - but the bloodwork doesn't come out the same - or at least mine didn't. The RA effect is an immune response caused by the body fighting the virus rather than the effect of the virus itself. Where is a by the way? Don't seem to recall seeing anything from her for a while, but I haven't really been keeping up. Do you have any news of Tess and Judi? How are you keeping? Hugs, Heidi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 17, 2006 Report Share Posted December 17, 2006 Ha, ha that would make the two of us Scrooges! Sometimes I wish I could escape to a tropical island - and then I realise that I'm on one and I still can't get away from the Christmas rush ;-) ! Please send a my love, Hugs, Heidi Re: [ ] RA & Pregnancey & Catch up. Long! Heidi, You're most welcome. I looked chikungunya up. Not good. Sounds awful from both your description and what I read. But what a great idea to use it to teach others something about RA! I'm glad the baby wasn't affected. a is still here. She has had to attend to some urgent personal matters, so I've been trying to hold down the fort the best I can. Tess isn't participating right now. I haven't heard much from Judi since Ron's surgery. I hope they are both OK. I'm fine, thank you. Trying to keep the stress at bay with Christmas just a little over a week away. Would it be too Scrooge-like to say that I'll be happy when it's over? Not an MD I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org RE: [ ] RA & Pregnancey & Catch up. Long! Hi ! As usual you are a veritable fountain of knowledge! Thanks for that, confusing but interesting! ;-) Thought your interest would be peaked by the " Chikungunya " - sounds pretty exotic hey! It unfortunately is and wasn't fun at all but apparently once you've had it you're immune so at least there's that! We had a major outbreak of it this year in Mauritius, our neighbour Reunion island was much worse hit though. They think it came over with travellers from the Commore islands where they recently had an outbreak. First time we've had it here but it's a hard one to get rid of as you've got to try and kill the vector - which is a particular breed of mosquito - of which, being a tropical island, we have plenty! They eradicated malaria here though so there's hope. Only good thing about it is a whole new appreciation around me for how it feels to have RA, now all I have to say is " Have you had Chikungunya? " usual response if yes " thought I was dying, never been in such terrible pain, had a major depression because I couldn't do anything anymore etc. etc " So I just tell them it's like that but ALL THE TIME, unless you are in remission... The first few days are awful; high fever, terrible raised rash and my skin was very sensitive and painful to the slightest touch, hugely swollen ankles after that Ãt's very similar to RA though, the stiffness, painful but not as swollen joints, fatigue - all there - but the bloodwork doesn't come out the same - or at least mine didn't. The RA effect is an immune response caused by the body fighting the virus rather than the effect of the virus itself. Where is a by the way? Don't seem to recall seeing anything from her for a while, but I haven't really been keeping up. Do you have any news of Tess and Judi? How are you keeping? Hugs, Heidi Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.