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Posted

Thanks for your congratulations, Pam! I'm finally on my way and can't wait

to see what the New Year has in store for me hearing wise! :)

Surgery date: 12/22/04

Activation date: 1/18/05

  • 1 year later...
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Posted

Sorry about the joint replacements. how are you feeling now with

the pregnacy? Let us follow along with you. I feel you will be

fine. I am happy for you. It is an example of life continuing on

with RA. I needed that reminder the last few days. I really wish

you the best.

Hugs,

Ebony

this is what I found:

" Pregnancy and childbirth can occur successfully in patients who have

a total hip replacement, according to the results of a study

presented today at the American Academy of Orthopaedic Surgeons'

(AAOS) Annual Meeting.

In the past, hip replacement also called total hip arthroplasty (THA)

was an option primarily for people over 60 years of age. Typically,

older people are less active and put less strain on the artificial

hip than younger, more active people. However, with the advent of new

prosthetic designs and advances in surgical techniques, total hip

arthroplasty is now a viable treatment option for younger patients

suffering from hip conditions such as hip dyplasia or dislocation,

juvenile inflammatory arthritis and hip fractures or trauma --

conditions that can affect females of childbearing age. According to

the National Center for Health Statistics, National Hospital

Discharge Survey, 2000, over 5,000 total hip arthroplasties were

performed on women 45 and under.

" A concern for many women of childbearing age that have THA is that

pregnancy and childbirth will dramatically increase their need for

future revision, " said J. Sierra, MD, co-author of the study

conducted at the Mayo Clinic in Rochester, Minn. " What we found in

our research is that once patient age at the time of arthroplasty is

factored in, association between pregnancy/childbirth and revision

rates is not statistically significant. "

The study found that vaginal delivery is possible in the majority of

patients with a total hip arthroplasty. A small number of women

experience increased hip pain during pregnancy and an even smaller

number of those women's pain continues after delivery.

A retrospective review of the Mayo Clinic total joint registry was

conducted to identify all female patients between the ages of 18 and

45 who had undergone a primary total hip arthroplasty between 1975

and 1995. The qualifying group was comprised of 343 females with the

mean age of 35 years. Out of that group, 627 pregnancies occurred in

228 patients with 108 occurring in 57 patients (17%) after their

total hip arthroplasty (range 1 to 9 pregnancies). The mean time from

total hip arthroplasty to the first pregnancy resulting in live

childbirth after was 3.8 years. The patient's first baby after THA

was delivered by C-section in 20 and vaginally in 31 (6 unknown). Of

the 57 patients who became pregnant after THA, 8 (14%) patients noted

an increase in hip pain during pregnancy and half of those 14

patients said pain persisted after pregnancy. In regards to revision

rates, of the 57 patients who had a pregnancy after their primary

total hip arthroplasty, 24 were revised. Out of the 286 women who did

not have pregnancies after THA, 114 had revision surgery. " at web

site

http://www.arthritissupport.com/library/showarticle.cfm/ID/646/

  • 3 months later...
Posted

Hello !

That is excellent news! Congratulations! I am so happy for you! I've

been wondering where you've been, now I know, you're WORKING!!!

~ Gretchen

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