Dear midwife friends and collegues,
Tried to send this today but ??
Really hoping that someone in midwifery land can help
I am looking for information about the management of pregnancy where the
possibility of Congenital Adrenal Hyperplasia (CAH) exists. CAH is an
uncommon reccessive disorder which affects cortisone and aldosterone
production. An affected individual needs oral replacement cortisone. I am 26
weeks pregnant with a baby that may be affected by CAH.
The current treatment during pregnancy where the baby may be affected is
oral dexamethasone. I am interested in hearing from anyone who has any
information about the implications of the use of steroids in pregnancy.
Another issue that I would like to addresss is that of the management of the
baby at birth. Despite medical opposition, I am planning to birth my baby at
home. As yet, I can find no Literature which describes any risk in doing so
but I want to be as well informed as possible. 

Michelle Carrucan &
Annie Sprague RN RM M&CH
Independent Midwife
34 Shiers St. 
Alphington 3078
Melbourne Aust.
Ph. (03) 94973625
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