Saturday, November 7, 2009

Should CF Women Have Babies?

I received this email over on Facebook from a women who is reaching out for help. I wanted to share it with you guys and hope to get her some feedback. Please leave your comments for her here or you can always e-mail her directly.
ronnie i am 21 i have cf and all my life i was told im dying give up all the negative stuff on top of that my mom was in lighter words insane honestly unfit to raise me and know im happy to report i went from living with her being 80 lbs and 40% lung function to being with my now husband and i went to 122lbs and 72% function im very happy but heres the problem my doctor isnt happy she actullay is mad im not better and my husband and i want to have children and she sat there in front of me in clinic and told me i was dying and i shouldnt bring a child in to this world with a dying mother and told me if i did get prego i should terminate if it had cf but thats like my mother terminating me and you you know what should i do i know i need my doctors on my side to go through a pregnacy it says so on all the websites and that it is possible and it could be healthy and all that should i try and find another cf doctor report her for paiteint doctor abuse if so how i live in houston texas there are no other cf adult care doctors but her in my area i know your a guy but i really need help i have just learned in the last year all about my illness for my self lost my medicaide lost ssi everything cause of my mom and she never told me anything about my illness so im really just now learning about it and i have no clue about anything out there to help my husband and i with any problems we have such as prescripton cost doctor rights anything i really need help from my cf community please feel free to contact me on here or by email shelby87a@hotmail.com and if you need other people opion feel free to post this i need all the help i can get from anyone who can give it thank you
I'm sure that she would love to hear from some of you cysters out there who have babies of your own. It sounds like she is very interested in carrying a child, but seems a little uncertain about bringing a child into this world without being able to guarantee it a "normal" upbringing. What would you guys say to her? I'm sure any feedback would be much appreciated.

Comments (15)

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I have Cystic Fibrosis and here is my experience:

I got pregnant, had a successful pregnancy and delivered a healthy baby. I have a great husband who is helpful when I am having a bad health day... and other family members who are happy to help out as well. Having a child helped me feel "normal". My son knows about my illness and my limitations. My son is the light of my life-- he is all the encouragement that I need to do my treatments and my medications.

I think my son has a fairly normal upbringing. We go to the zoo, museums, play soccer in the backyard and build Legos. The only difference in his life is we do homeschool and don't have alot of playdates due to germs.
I don't have a child, but I know something about the recommended guidelines, and I've had convos about having kids with my doc.

Basically most CF docs won't recommend carrying a child if your lung function is below 50% (40% is often considered the absolute "cut off", but of course some people carry children despite low lung function). The thing to remember, though, is that lung function is only part of the picture. Carrying a child is often hard on a CF body, and raising an infant often is as well. I think it's EXTREMELY important for CF women (and men!) considering having kids to examine all aspects of their physical and emotional health to make sure that they're ready for the challenge.

I would ask your doctor flat out why she thinks you're not "healthy enough" to have a child. Is it based on lung function? Weight? Infection history? Once you have a clearer answer, you can focus on working through that particular challenge (for example, if it's a weight issue, you might want a g-tube for a few months to help stabilize your nutrition). It may be that she just wants you to demonstrate that you can STAY up in the higher numbers for a while -- since you've made such an incredible jump in a year, it might be wise to give your body time to adjust and show that you can maintain that level of health for a few months. In the meantime, I would get serious about health, compliance, and exercise if you aren't already. When a baby comes into your life it's going to be more challenging than ever to keep up with your CF routine, and you need to have a good head start and good habits already formed. At 21 you still have TONS of time to be thinking about starting a family, and if waiting 6 months or a year gets you to even better levels of health that you can sustain even longer throughout your child's life, it will be SOOOO worth it.

Children raised by CFers can have happy, normal childhoods. It's ridiculous to claim that people living with chronic illness can't or "shouldn't" raise children. I know one CFer is also the mother of a CFer, and both mom and baby are happy and staying healthy. Your focus here should be on YOUR health, which in turn will help to guarantee the best possible health and outcome for your child.

Good luck!
Heather MacInnis's avatar

Heather MacInnis · 804 weeks ago

I've also wondered about having kids myself and struggle with what the reality that wish might not be. I'm 23 now, still in school, unmarried and not ready to have kids, but I also wonder that if I wait too long, will it be an option at all? At this point my health is a series of deep lows and moderate highs...the highs are getting fewer and farther between and lung transplant is becoming a common topic of conversation, it's hard to say exactly, but I'll probably be on the list in the next 1-3 years. Having a baby beforehand just isn't a realistic option and I'm not sure it's possible after a transplant with all the meds and complications. I think I would even be worried now about what type of unknown negative effect might stem from having a baby while on soooo much medication. I'm still looking into this and I try to keep in mind that there are other options. As for your story, having an unsupportive doctor sucks, I've been there, it makes everything else harder because you lack the necessary comfort level that all CF's should have with their physicians. I don't know much about how this stuff works in the States but if this doctor is the only one around then going out of state might be your best bet, even just to get some sense of other options or ideas to bring back to your doctor.

I think also that if you can come back from a tough upbringing and bad health like you have, then you can do almost anything. I would agree with the comment above though that maybe investing a little more time in You might be a good idea...for you, your husband and any future children. I also agree that you will definitely need a good support system in place because at 72% lung function a baby might not be too bad but a toddler would be exhausting. I think at the end of the day tho people with CF can do most of the things that other people do, just differently and with help but many other people with different conditions and disabilities are in the same boat. Anyway, I doubt that this has been any help but I really wanted to comment and let you know that people care. Best of luck in whatever you decide to do :)
Christie Rodecap's avatar

Christie Rodecap · 804 weeks ago

Hello,
I am 52 years young. I have a beautiful 32 year old son that I adore and a husband that adores me (I think) These 2 men in my life give me a reason for living. I also have CF. When I became pregnant I didn't know I had cf, I wasn't diagnosed until I was 43. I DID have a difficult pregnancy (diabetes, edema, septicemia) but those were not my main problem and neither were my lungs. I had a broken pelvic bone that prevented me from having a natural childbirth and was not diagnosed till 4 hours before a c-section. If your doctor is objecting because she thinks you won't be around to raise this child then she best think again. Alot of cf woman have children and see them grown. This is also selfish to not allow any couple who can have children. What is to say that parents are hit by a bus and killed??? We are all going to die someday. If you are healthy enough to carry a child and you want a child, Have a child, you will never regret it. I had a mother that told us just about every chance she got that she "never wanted you little bastards" I broke that cycle...An abused child CAN become a loving parent....
You might not like what I am going to say, but somebody needs to have taken that girl away from her mother LONG TIME AGO!!!! And her doctors, shame on them. We don't let our daughter life with the mentality that she is dying...fact is we are all dying! Not one of us has a guaranty of tomorrow. When i had kids, I didn't know how long I was going to be alive to raise them, that I wasn't going to go outside on any given day and NOT get hit by a bus. These young people need a life to look forward to. My daughter needs a future too live for a husband, kids, a career....she deseves ALL OF IT!! This poor girl was being told she had no future....how terrible. And when she left home is when she thrived. That is probably because she wasn't living in a bleak situation anymore. Parents, its up to us to let our kids LIVE!!! We give them hope......lets do our job.
By the way, EXCELLENT article on CF and parenting written by the fabulous Beth Sufian for CF Roundtable. It was written in 2003 but still holds very true on so many points:

http://www.cfroundtable.com/winter4.htm
Wow, your blog always brings new things into perspective for me. I can't imagine what she is going through and how hard and lonely it must be. What a decision...
My advice being a cfer and the mother of a 13 month old is.... I believe having a child brought meaning to my life, and gave me a reason to want to fight. I was blessed with a very healthy pregnancy. They were happy with my weight gain. No problems, in fact my best friend and my sister were all pregnant around the same time and I had a healthier pregnancy than either one of them and they're "normal". I delivered 2 days after my due date, no problems in labor I had no shortness of breath or anything. And my daughter is healthy and happy. My doctors said I was an adult and it was up to me whether i wanted to have a child or not, they even got all excited about the ultrasound pictures :) This girl appears to have a pretty healthy weight and pfts so I don't understand why the doc would be that way. In my opinion it's up to the doctors to get their patients through the pregnancy and treat them when their sick but not dictate their life 100%. And if this doctor is basing it on life expectancy then she needs to realize it's up to GOD when we leave this world and nothing else. Anyone could die at any moment regardless of how healthy they are! My advice to her is GO FOR IT! I did write a blog on my pregnancy if it helps.
I got married at 21 and had a healthy baby girl at the age of 27. I had a very easy pregnance and delivery. I am not sure what my lung function was at the time. I know that I was told I had a more mild case of CF that was diagnosed at the age of 8. At the age of 50 I had a double lung transplant and am doing fabulous and now enjoying 3 wonderful grandchildren.
Wow.. I am sorry for all that she has gone through. CF is never easy. Thank God she now has a supportive husband. As a mother who has CF, I'll briefly share my experience:
I was diagnosed with CF at age 7 months. At age 23 I became pregnant with a lung function of 44%. The pregnancy was difficult (diabetes, decreased lung function, etc) but I worked VERY hard - exercised, did ALL of my treatments and meds - and had a beautiful baby girl. They had to deliver her 6 weeks early b/c my lungs were too compressed by her, and I had a C-section b/c she was breach. My husband was tested and is NOT a carrier of CF, so we knew she would only be a carrier from me and not actually have CF. (I highly recommend testing your spouse if you have CF so you can better prepare and make decisions) At age 26, I had a double lung transplant. Thankfully, I had many family take turns taking care of her (she was 3 at the time of my Tx) during my hospital stay, and for several months after returning home. Since my Tx I can FINALLY be a Mommy to her.. I'M the one who bathes her, feeds her, runs with her, takes her to the park and the zoo, tosses her in the air (which is not an easy task for ANYONE since she weighed a healthy 50 pounds when she turned 4!!).... She is the light of my life and is actually my greatest helper and advocate. SHE reminds me to do all my treatments, to wear a mask when we're in a crowded place. She checks my blood sugars and helps me give shots and take meds. She is THE most mature and empathetic 4 year old on the planet, and I believe that having CF has blessed MY life AND her life.. as well as my husband and all of our family members who have experienced a renewed faith after seeing us overcome our obstacles TOGETHER!!
Mine is only one story, and of course, everyone has different circumstances. I wish you the best in making this decision, but I encourage you to seek another doctor if, in fact, she is not being objective and helpful. I travel 100 miles to my Tx Clinic.. I know that is where I receive the best possible care, so I drive the 2 hours there and back and it is WELL worth it.
God Bless you and DON'T GIVE UP!! We may not have the longest life or the easiest life, but it sure can be paradise!!!!!
-your fellow Cysta, emily
I agree with Piper - I would ask your doctor why she says you shouldn't get pregnant. And, depending on her response, perhaps get a second opinion. I think the decision to have a child is a very personal one and involves a careful analysis of one's health. My opinion is that you've got to think about how pregnancy AND caring for a newborn. will affect your health. And I think you need to consider the likelyhood you will be around to raise your child, and how your CF will impact your family. I know it's all a bit unknown, but it is helpful to get an idea of the odds of your health staying stable.

And, FWIW, I have CF and made the decision to get pregnant and am currently 12 weeks pregnant.

Good luck with your decision! And congrats on such a great increase in PFTs!
I am 26 years old with CF and my daughter will be nine this Christmas. I only have CF in my lungs, so I don't have the weight gain problem. Pregnancy was extremely hard on my body. I will be completely honest. My numbers did decrease and I never really bounced back afterwards. However I must say my daughter is my purpose in this world. She is completely and totally 100% healthy. I would do it all over again given the chance. I truly believe pregnancy with CF is a personal choice. You do want to be smart about it and get all the facts however at the end of the day it has to be YOUR decision. I had an incredible doctor at the time. She was still my pediatrician as I was only 17. The day my mom took me to her office to break the news(my mother was extremely scared and upset!) she looked at us and said, "Okay, we are having a baby." She told me I could do it. My numbers were in the 80 percentage at the time. She told me after my daughter was born, that I didn't need to have any more children. But she waited until AFTER. The entire time I was pregnant she was all smiles and so excited for me. It by far made a difference in the way I felt. I truly believe half of our battle is mental. I wish you best of luck on your decision. I will be praying for you! =)
hi im 36 with a 6 year old daughter.when i got pregnant i had 97 percent lung function and was in very good health.but even though i had good health it took it out of me and took me a good year to recover after.but with a healthy lifestyle regular exercise ,meds and good food i got there,and im now the best ive ever felt.my daughter doesnt have cf as her dad isnt a carrier,which he got tested for before got pregnant.she will automatically be a carrier thou.she was 8lb born delivered naturally and went full term,which surprised my doctors.myself though i wouldnt risk my health again to have another child.i have 1 beautiful daughter and thats all i need.for years as i was growing up in the 70s and 80s we as cf girls was always told not to have children,but as the years go by things change and told with good monitoring and a good cf team round you it came possible.back in 73 when my mom found out what was wrong with me the docs told her she would only have me till my early teens.well i proved the experts wrong im now 36.i really suggest to you now that you got a good husband,really make sure your in good health 1st and get as much advice as possible. good luck .hope all goes well for you.xx
I'm a mother of a CF daughter who is 27. She is happy, and mostly healthy. She works hard and has a fiance. I believe they will marry in a year. I believe that children will be in their future. She has learned to live with a lot, and is kind and level headed. If more parents were like her, the world would have many more happy and well adjusted people in the world. It's not all about physical health. Most CF people I know ( and I know quite a few) have been people who are loving life. Go for it.

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