Feeling better today....except for the gagging.
Hi ladies,
Man, am I ever not feeling so crabby today! Woo! It' pouring outsides, but I feel like for me, the cloud has lifted. I went to the pool last night, took a test, went to bed, and boy, do I ever feel better.
I dreamt about buying cute little baby clothes at Gymboree, that were all on sale.
Melissa, I need to ask you something. I use Rhinocort AQ for my sinuses. It's a nasal spray. My primary care dr and my ob-gyn dr both say it's ok for me to continue using it through my pregnancy. I would feel a lot better if I heard from YOU though that I could still use it through my pregnancy....
What do you guys think of the name Susanna? Or maybe Suzanna? I don't know the spelling, I just think the name Susanna Mae would sound really nice on a baby girl wearing a sundress and a bonnet. Really girly. Really cute, but not gross stripper name cute, like Cookie or something. I guess that's not actually cute then, if it's a gross stripper name. I don't know. Kevin seems to not know what names are the ones that will destine our daughter for stripper-dom.
What do you guys think? Before I suggest it to Kevin? After all, I did tell him I was never naming the baby again.....I'll bet he'll let me off the hook on that one.
I also want to give a shout out to Kari, who I haven't heard from in a long time. What up yo?
posted by ElliottPreciousPants @ 9:55 AM
13 Comments:
i hesitate a little to worry you, so let me start with: it's very likely to be perfectly safe, especially at the doses you probably take. you're really smart, so here's the actual research that's been done (everyone else, don't look directly at it, as it will burn your eyes):
In rats, budesonide caused a decrease in prenatal viability and viability of the pups at birth and during lactation, along with a decrease in maternal bodyweight gain, at subcutaneous doses of 20 mcg/kg and above (less than the maximum recommended daily intranasal dose in adults on a mcg/m2 basis). No such effects were noted at 5 mcg/kg (less than the maximum recommended daily intranasal dose in adults on a mcg/m2 basis).
Pregnancy
Teratogenic Effects: Pregnancy Category B: The impact of budesonide on human pregnancy outcomes has been evaluated through assessments of birth registries linked with maternal usage of inhaled budesonide (ie, PULMICORT TURBUHALER) and intranasally administered budesonide (ie, RHINOCORT AQUA Nasal Spray). The results from population-based prospective cohort
epidemiological studies reviewing data from three Swedish registries covering approximately 99% of the pregnancies from 1995-2001 (ie, Swedish Medical Birth Registry; Registry of Congenital Malformations; Child Cardiology Registry)indicate no increased risk for overall congenital malformations from the use of
inhaled or intranasal budesonide during early pregnancy.
Congenital malformations were studied in 2,014 infants born to mothers reporting the use of inhaled budesonide for asthma in early pregnancy (usually 10-12 weeks after the last menstrual period), the period when most major organ malformations occur.
1 The rate of overall congenital malformations was similar compared to the general population rate (3.8 % vs. 3.5%, respectively). The
number of infants born with orofacial clefts and cardiac defects was similar to the expected number in the general population (4 children vs. 3.3 and 18 children vs. 17-18, respectively). In a follow-on study bringing the total number
of infants to 2,534, the rate of overall congenital malformations among infants whose mothers were exposed to inhaled budesonide during early pregnancy was not different from the rate for all newborn babies during the same period(3.6%).2 A third study from the Swedish Medical Birth Registry of 2,968 pregnancies exposed to inhaled budesonide, the majority of which were first trimester exposures, reported gestational age, birth weight, birth length, stillbirths, and multiple births similar for exposed infants ompared to nonexposed nfants.3
Congenital malformations were studied in 2,113 infants born to mothers reporting the use of intranasal budesonide in early pregnancy. The rate of overall
congenital malformations was similar compared to the general population rate (4.5% vs. 3.5%, respectively). The adjusted odds ratio (OR) was 1.06 (95% CI 0.86-1.31). The number of infants born with orofacial clefts was similar to the expected number in the general population (3 children vs. 3, respectively). The number of infants born with cardiac defects exceeded that expected in the
general population (28 children vs. 17.8 respectively). The systemic exposure from intranasal budesonide is 6-fold less than from inhaled budesonide and an
association of cardiac defects was not seen with higher exposures of budesonide.
As with other corticosteroids, budesonide was teratogenic and embryocidal in rabbits and rats. Budesonide produced fetal loss, decreased pup weights, and
skeletal abnormalities at subcutaneous doses of 25 mcg/kg in rabbits and 500 mcg/kg in rats (approximately 2 and 16 times the maximum recommended daily intranasal dose in adults on a mcg/m2 basis). In another study in rats, no teratogenic or embryocidal effects were seen at inhalation doses up to 250 mcg/kg (approximately 8 times the maximum recommended daily intranasal dose in adults on a mcg/m2 basis).
Experience with oral corticosteroids since their introduction in pharmacologic,
as opposed to physiologic doses suggests that rodents are more prone to teratogenic effects from corticosteroids than humans. In addition, because there is an increase in corticosteroid production during pregnancy, most women will require a lower exogenous corticosteroid dose and many will not need corticosteroid treatment during pregnancy.
Despite the animal findings, it would appear that the possibility of fetal harm is remote if the drug is used during pregnancy. Nevertheless, because the studies
in humans cannot rule out the possibility of harm, RHINOCORT AQUA should be used during pregnancy only if clearly needed.
Nonteratogenic Effects: Hypoadrenalism may occur in infants born of mothers receiving corticosteroids during pregnancy. Such infants should be carefully
observed.
Nursing Mothers
It is not known whether budesonide is excreted in human milk. Because other corticosteroids are excreted in human milk, caution should be exercised when RHINOCORT AQUA Nasal Spray is administered to nursing women.
Pediatric Use
Safety and effectiveness in pediatric patients below 6 years of age have not been established.
Controlled clinical studies have shown that intranasal corticosteroids may cause a reduction in growth velocity in pediatric patients. This effect has been observed in the absence of laboratory evidence of hypothalamic-pituitaryadrenal
(HPA)-axis suppression, suggesting that growth velocity is a more
sensitive indicator of systemic corticosteroid exposure in pediatric patients than some commonly used tests of HPA-axis function. The long-term effects of this reduction in growth velocity associated with intranasal corticosteroids, including the impact on final adult height, are unknown. The potential for “catchup” growth following discontinuation of treatment with intranasal corticosteroids has not been adequately studied. The growth of pediatric patients receiving intranasal corticosteroids, including RHINOCORT AQUA Nasal Spray, should be monitored routinely (eg, via stadiometry). The potential
growth effects of prolonged treatment should be weighed against clinical benefits
obtained and the availability of safe and effective noncorticosteroid treatment alternatives. To minimize the systemic effects of intranasal corticosteroids, including RHINOCORT AQUA Nasal Spray, each patient should be titrated to the lowest dose that effectively controls his/her symptoms.
ok- i'm back. summary- if you need it, you should take it. if you can live without it and are worried, skip it. honestly, i think probably people should think this way for all their meds- if you don't need it, don't take it. if you need it, don't suffer. if your allergies are bad, take the medicine. i know this is the longest answer ever. i guess that's what i do...
i like the word "rhinitis," by the way...
Thanks for all the information:) Actually, from reading your answer, I felt much less worried. I guess I should trust my doctors a little more. But having the facts and seeing that it looks like it doesn't really increase the chances of anything bad happening more than what can happen bad in just normal society, well, that's good.
I don't use it everyday. Probably a few times a week, when I notice I am really congested or am starting to wake up with a sore throat. Then I use it (one spray per nostril per day is my dose!) and I usually feel better.
I was on Nasacort before that, and I actually liked that more, but they took me off that when I was trying to get pregnant, and put me on the rhinocort because they said they wouldn't have to switch me over then after I did get pregnant, and I could continue to use this during my pregnancy. So. That's the story.
My mood has improved so much today. I am feeling so much less grumpy than I have in probably 2 weeks. It's great.
Well, I don't know if this helps but a woman I work with swears that using a saline spray helps with her sinuses and sore throat immensely. She says she used to always wake up congested and with a sore throat but since she started using the saline spray stuff she hasn't had a problem at all. Maybe safer than your meds?
They actually put me on the meds because the saline spray wasn't helping at all:(.
That's awesome though that it's helping your co-worker.
You guys never commented on my name suggestion. Should I take that as a no?
i like it. some lady that came through the center had the name Suzannah, which i thought was kinda suthern belle sounding.... she might get called sue though (sue mae? could be just southern, without the belle.).
alright, i'm a dummy to be at work thinking about naming babypants, but, well, there isn't much i can do about it. i'm a dork. here's what i like with your last name...
- Sybil (Sybil Mae, if you like...) it means "prophet" which seems kinda cool.
Phoebe- too dorky? i like it, and it means "light."
Mae is really cute. it means "bitter," though, so i would put something with a nice meaning. it would be crummy to be named Damaris Mae- bitter heifer, or Dolores Mae, lady of bitter sorrows.
I like Suzanna better than Susanna. Suzanna Mae does sound very girly and sweet.
And, just to add my two cents, for other names that start with "S", my favorites include: Sabine, Sophia and Sydney.
Suzanna is cute.
I've also like Bernadette. Bernie for short. I always thought it was cute to call girls by boy's names. Like Sam, for Samantha. Which I also like.
I have mentioned this before but I think Ramona is really cute. And Serena/Sarina, which is what people usually think my name is anyway.
Boys names I like Ethan, and Martin. Ian is good too I think.
But...Babypants is best.
I really appreciate your ideas and input! Awesome!
Kari--I'm sorry, but I don't think that we are going to be able to go with the z. I don't want it shortened to Suzie, and I will explain that further down..
Melissa--I like Sybil and Phoebe. I don't know if I can do Sybil though, because it always makes me think about the girl with multiple personality disorder--have you ever read that book? It's so unfortunate. And Phoebe is cute, and I actually suggested it to Kevin a while ago, but he didn't like it because it made him think of friends.
Joanne--I love Sidney, Kevin didn't like it (I know, it seems like he doesn't like anything!!) I never considered Sabine, and Sophia I love--it's also the name of my niece!
Sareet-- I absolutely LOVE the name Bernadette. Kevin hates it. And I have a cousin named Samantha--actually two of them. I think that should be ok, but Kevin doesn't want to name the baby any name that we already have in either of our families.
Which for the record, I think it kind of dumb. Especially if they are just distant cousins that we never see. In fact, I've gotten to the point where when we talk about names, and we find one we both like, I don't tell him that I have a distant cousin named that. Like Aidan. Kevin really liked Aidan. I have a distant 3rd cousin named Aidan, who I have only seen twice ever in both of our lives. So when Kevin was all like "Oh yeah, I love the name Aidan!" I just didn't mention "Yeah, I have a cousin named Aidan, I love that name." Unfortunately, I didn't catch on to how weird he was about 'family names' until I had revealed way too much. Of course, then we found out that Aidan was the #1 baby boy name of 2005. Buh-bye.
If we do Susannah, we're going to spell it Susannah. The old fashioned way. Susannah Mae. And yes, that is because I realize my mom has a dog named Suzie. So we won't call her Suzie. I can't limit my baby name choices because my mom likes to give her dogs people names. The baby is going to outlive the dog, and someday the dog will just be a faded memory. But I haven't pointed this out to Kevin, because I don't want to ruin a name we both like.
For boys, we have two favorites. I think I mentioned one before--Theodore James, and the other is Ryan James.
We shall see.
For whatever reason, Kevin and I both discussed how we have inklings that it's a girl for some reason.
Which means it is probably going to be a boy then.
On the internet, they have these chinese zodiac gender prediction charts. I can't help but think there is no validity to those whatsoever, but those all say girl.
Anyone know anything about those?
hmm- what *does* Kevin like...?
You know what? One day, I was getting really frustrated, and I was like "OK, so what names do you actually like? If it were you having a baby on your own, and it were entirely up to you to name the baby, what names would you name it?"
He told me that he likes the name Virginia, and if he were having a baby alone, and it was a girl, he would name her Virginia Marie.
If he had a boy, he would name is Kevin. After himself. And then call it Junior.
OK, good to have his input. But we are SO NOT going to call the baby JUNIOR. As far as I am concerned, that's out of the question.
As far as Virginia, well, I could be sold on Virginia Mae. I think that's cute. But not Virginia Marie. But I certainly don't *love* the name. It's cute. It would work.
I don't feel like we need to have names that both of us absolutely love. It's OK with me if we have a point where we have names picked that we both really really like a lot.
There are, on the other hand, several names that I really love.
Whereas he appears to only really like/love two--Virginia, and Junior.
Except for now, when I suggested Susannah, he asked how I would spell it (that matters for some reason to men??) When I suggested spelling it Susannah, then he really liked it. Not as much as he likes Virginia, but, he really likes Susannah. And I like Susannah more than Virginia. I think.
I think he's very difficult.
i like susannah more than virginia too. and naming kids after oneself is egotistical, in my opinion. which, of course, is the most important thing when it comes to naming your baby...! Let's hope for a girl, i guess... Maybe he will come around on a boy name. Ask him what he would name his second boy- maybe if it CAN'T be Kevin (a la george foreman), he'll come up with something.
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