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Answer to your Health Question

Question (04/04/2012):

Title: Is it possible to have a baby safely with bilateral sacroiliitis?

Hello,

I have bilateral sacroiliitis, an extremely painful case of it.

Sometimes I get flares so bad I get shooting pains past my legs and can't walk.

Pain like that can last for weeks at a time but is rare.

I have a five year old son which in that pregnancy is how I go sacroiliitis.

I would like to have more children, but I know nothing about the risks, if there are any.

I have to get blood tests done every 3 months to check and make sure I don't have an active infection in my sacroiliac joints.

And I have a history of MRSA in the past. So I can't do cortisone shots.

Is it possible to have a baby safely?

What are the risks involved?

As much info as possible would be wonderful!!!

Thank you!!!

Katie

Answer:

Dear Katie,

Many women worsen their sacroiliitis during pregnancy and some improve temporarily or permanently.

Sacroiliitis can cause a complicated pregnancy and delivery.

Sacroiliitis can produce severe pain in childbirth.

Pregnancy is itself a risk factor of sacroiliitis

Sacroiliitis can be part of a more significant inflammatory arthritis known as ankylosing spondylitis, which can have serious complications such as difficulty breathing, spine deformities, lung infections and heart problems.

Sacroiliitis may require taking medication regularly in addition to physical therapy and rest.


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