HI claire, I am currently 16 weeks preg with No 2. Have had psoriatic arthritis for the past 16 years, am now 32. First pregnancy no problems. went into remission straight away. then a few days after giving birth could feel tightening in my knees it was the start of it coming back. managed to go 6 weeks without meds then stopped breastfeeding and went back on methetrexate. this time different story. stopped meds 3 months before getting pregnant. had been on methetrexate and arava. arava wash out was horrible. over those three months I was in so much pain with my knees. had to have cortisone injections. got pregnant pretty quickly but the arthritis has been flaring up on and off since then. have had cortisone injections which lasted a week. some days haven't been able to walk. on top of that horrendous morning sickness which is just starting to subside. I have lost 6kg since I got pregnant. have been picking up every virus/bug that has been going around. this is definitely my last pregnancy. I had to take 2 weeks off work I was that sick. Roll on May 2009!
but first pregnancy was great. I can't really say that the arthritis came back worse after the baby was born but it is definitely worse now but i gave birth in 2005.
I hope this is of some help. I am planning not breastfeeding this time round and starting meds straight away. no use breastfeeding if I can't get out of bed to look after the baby. I think my arthritis will be like this my whold pregnancy. if it was going to go into remission it would have a couple of weeks ago. fingers crossed I am wrong.
Hi Richelle! I hope you don't mind me popping in... I don't have psoriatic arthritis, but I do have a weird serum-negative rheumatoid arthritis that nobody has yet been able to put a name to. I did want to give you some hope, though. First time I was pregnant I'd pretty much gone into remission by 6 weeks, sadly I lost the baby just before 9 weeks... This time, it was MUCH later before I had any signs of remission at all. It was more like 17-18 weeks before I felt comfortable reducing my prednisone dosage at all, but now at nearly 32 weeks, I've halved the dosage of my salazopyrin and I'm only still on the prednsione (5mg, half of what I started with) because my rheumy told me not to bother and that I'd have to take more around the time I give birth anyway. Not sure what the deal with that is, but I did want to let you know that just because you haven't gone into remission yet, doesn't necessarily mean you won't. I really hope things improve for you soon...
Thanks for your reply. I guess you've confirmed what I was dreading. I really want to be able to breastfeed for atleast 6 months but know I probably won't be able to last that long without medication. I guess I just have to wait and see
I really feel for you - having to copy with morning sickness is bad enough, let alone dealing with PA on top of it. I really hope you go into remission with this bub and that you don't get any more bugs/flus.
Ouchies on the psoriatic arthritis. I like Trillian, also have psoriasis. It pretty much cleared up with my DD, except for one tiny spot on my scalp, and with DS it cleared up, but I still had some spots on my scalp and some little ones on my elbows.
I have recently bought some MooGoo with MSM, to try on my elbows, and it seems to be working pretty good. The plaques aren't as dry and scaly, and don't seem to be multiplying as quickly. had one spot on the back of my hand that has pretty much disappeared.
Hope all goes well and it doesn't make an appearance for quite a while
I am pregnant with my first (13 weeks right now), and I am also experiencing some flaring of my PsA. Knock wood... my skin is pretty good, though.
I try to relax the joints and easily stretch or move them often. Walking a little bit actually helps to avoid too much of tightening up. I also, pretty regularly, wear a sport support on my knee. It really helps keep my knee in place. The ankle support is alright. I got them at the pharmacy. I actually find that basic point and flex stretches work well for the ankle... at least temporarily.
I was on Enbrel. My rheumy has been recommending either Cortisone or Prednisone (sp?) if I really get in tough shape now that I am pregnant. I am trying to avoid both as long as I can!
I agree with the other posts about feeding. My plan is to breast-feed for a month (if I can make it and longer if that is at all possible!), then go to formula so I can go back on Enbrel. I have also heard that PsA gets rough after birth.
Has anyone tried acupuncture for the inflamed areas while pregnant instead of taking meds????
I found that acupuncture would give me some relief during a flare - but it wasn't particularly long-lasting. It would certainly take the edge off, though!
However, I do wonder if my experiences with RA can translate to PA, because mine got better during pregnancy.
AMT, if you get to the point where you have to make the choice, try the prednisone before you go for cortisone injections. I was on prednisone for my entire pregnancy - never more than 10mg, and only 5mg for the second half... I'm assured that it's completely safe for the baby, it's just pretty rough on you if you end up needing a higher dose. Congratulations on your pregnancy, too.
The sad news... I only lasted with breast feeding for two weeks, and that was only dribbles. We had problems with supply as well as my RA flaring quite severely... I'm heavily dosed up on my regular meds and I'm just not comfortable exposing Samuel to them even when he was only getting dribbles of breast milk. I suspect that when my rheumy returns from holidays (mid-Feb, ugh!) that I'll have to start on methotrexate.
Hi AMT and welcome! I think that you have to take the best course of action for your situation. If it flares up really bad afterwards, then as much as you know breastmilk is the best source of nutrition for baby, it's not much good if Mum can hardly move or pick baby up because of her arthritis, so you have to take a holistic approach and look at the entire picture.
BW, if you do have to go on MTX, then you would have to have given up breastfeeding anyway - it will have adverse affects on bubs and you can't BF while taking it. But I really hope that it works well for you and you don't get any side effects from it. I imagine you would be taking a much higher dose for your arthritis than I am taking for my p.
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