Thursday, September 29, 2011

Yes, I'm neurotic, but I don't care: it's not about me anymore

I went to urgent care today because I suspected I had a UTI. I don't have any blood in my urine or burning when I pee, but I do have the back ache and pressure. I told the doctor there that I was pregnant, that I had tried for 3 years to get pregnant, and that I was very worried about taking anything while pregnant. The pee stick test they did on my urine sample came back probable for an infection, so she prescribed me a pregnancy approved antibiotic called nitrofurantoin mon/mac 100mg (also referred to as macrobid). I even asked the pharmacist if it was approved for pregnant women and he said yes, that many of their pregnant patients take this med for UTI's.

I call my fertility clinic to ask what they think about me taking this medication but didn't expect to get a response, which {surprise, surprise} I didn't.

So I get home, and being me, I google this macrobid. And of course, being the internet, there are very scary stories posted there for me to freak out about. Some people said that a few days after taking it, they miscarried. FREAK OUT.

So I call my mom. She says that it's unlikely that if these women miscarried just days after taking a pregnancy approved antibiotic, it was not the meds that caused the miscarriage, that miscarriages occur over time, not just in a matter of a few days. That the baby had probably already died and it was just coincidental that the actual passing of the miscarried fetus occurred after taking the antibiotic.

Then I call the on-call nurse at my medical clinic. She says that she's not an RN from the OB department but she can look up the drug and see what she can see. It's a 'class B' medication, meaning it's safe for pregnancy. She knows that most patients are prescribed macrobid when pregnant, that it is VERY rare for an antibiotic to cause a miscarriage, but she recommends that I call urgent care and leave a message with the nurses there for the doc I saw to call me back.

So I do. And she does call back and is very kind to answer all of my neurotic questions. 1) It is VERY rare for an antibiotic, especially a pregnancy approved one, to cause a miscarriage. 2) Google is not the best place to receive medical advice  ..... 3) She believes it is 100% safe for me to take {as it is the most commonly prescribed pregnancy UTI med}, but agrees with my hesitation since the pee test alone was not 100% conclusive for UTI, and I did not have any other symptoms besides mild back pain and extra discomfort and pressure when I need to pee. So, here was her suggestion: the culture results from my pee sample will be back in 2-3 days. They are open 7 days a week, so I can call over the weekend to get my results. If the results come back conclusively that I do indeed have a UTI, she recommends that I take the antibiotic, as an untreated infection running rampant in my body is not a risk anyone wants to take. BUT, if the culture comes back negative for infection, then no harm, no foul.  She agreed that taking a medication when pregnant, especially when it is not needed and using it purely as a preventative measure is not really a smart plan.

There you have it. The neurosis of being a parent has already begun and the baby isn't even here yet. Every decision I make affects this baby growing inside of me. Is it the right one? The wrong one? Pull.Out.Hair.

Do you think I'm making the right decision? {Le sigh}

3 comments:

  1. Well a few days of not taking the antibiotic isn't eally going to do anything worse, except that the infection may get a bit worse. I do agree with your mom on the whole prob not related, just coincidence thing too. That said, my midwife told me to take massive amounts of cranactin (cranberry concentrate from the health food store), avoid sugar since it feeds the infection, drink tons of water and unsweetened cranberry juice and rest. I was never prescribed an antibiotic when preg by my midwives but that might just be because of the difference between a midwife and a dr.

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  2. That's good that you're waiting, I think. Please don't feel bad - your natural instincts are already kicking in, which is good :) I hope you feel better soon!

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  3. Um, yeah. I'd be acting the same way. You're doing the right thing. Never second guess yourself. It's always better to be safe than sorry.

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