Pregnancy and Birth, Family Planning
I currently have two children, ages five and two. I have experienced symptoms of light-headedness (low blood pressure), tiredness, and muscle weakness. I have been diagnosed with Adrenal Fatigue and have been treating it holistically (Vitamin C, Vitamin Bs, adrenal glandulars) for about six months. My symptoms have improved by about 60 percent. My husband and I would like to have a third child. The timing is right for us but my question is if my body is up for it. I am 34, work full-time, and I have a very helpful spouse. Is it unwise to get pregnant until my body is at 100 percent? I'm concerned that [I] might [have to wait] a while, and I prefer my children to be spaced closer together. If I get pregnant now, how will I feel during pregnancy? After pregnancy? Can I continue taking my supplements while pregnant? While breastfeeding? If my Adrenal Fatigue worsens to the point of needing to take physiological doses of hydrocortisone, is that safe during pregnancy? And during breastfeeding? Please advise.
Adrenal Fatigue is a naturopathic diagnosis that is outside my expertise and involves treatments (e.g., low doses of hydrocortisone) that are also outside my experience and knowledge, so I am unable to give you specific advice for this condition.
That said, I would always recommend that a woman's body is in peak condition before conception. Your health before pregnancy has a greater impact on your child's lifelong health and well-being than anything that you do (or any supplements that you take) during pregnancy. With this in mind, I would recommend that you do all you can to regain your health and especially build your nutrition before you consider conceiving another baby.
In your case, I also would recommend having a hair mineral analysis done, as the sorts of symptoms that you describe could also be due to toxicity. This will also determine your levels of minerals. Ideally, your partner should check his hair as well.
I would highly recommend the book Healthy Parents Better Babies by Francesca Naish and Janette Roberts for a comprehensive guide to preconception care, or see book The Natural Way to Better Babies at www.fertility.com.au. See also the UK foresight program www.foresight-preconception.org.uk.
You can also read my previous advice about preconception nutrition, which would also apply to your situation www.mothering.com/sections/experts/buckley-archive2.html#fertility44.
I would be extremely wary about taking any drug or hormone during pregnancy, especially [during] the first three months. Hydrocortisone is not recommended at any time during pregnancy, except when there is absolutely no alternative for mother or baby, and may have long-term effects on the baby.

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