fashion friday

Halloween costumes are out! I think this year Audrey will be dressing up. Here are some of my favorites. Wow, Halloween just got so much more fun with a child!

Disguise; Flower Gnome
Disney Store; Mickey Mouse
Disguise; Sock Monkey
Carter's @ Costco & Other Carter's locations; Bubble Cow
Chasing Fireflies; Little Gnome
Chasing Fireflies; Buttercup Flower Fairy
Pottery Barn Kids; Cupcake
Pottery Barn Kids; Sweet Pea
Chasing Fireflies; Baby Glitterfish

Chasing Fireflies also has matching mother-daughter costumes!

Rubie's Costume Co; Smurf
Disguise; Cute Hoot


happy anniversary, mom & dad

It is a pretty special thing now-a-days growing up in a house with still married and still very in love parents. What a wonderful example they set. Cheers to 27 years together, still being young and having your kids out of the house! What great adventures you have ahead. Love you!


ibuprofen doubles risk of miscarriage

Risk of miscarriage more than doubled in women who took non-steroidal anti-inflammatory drugs, or NSAIDs, during the first 20 weeks of gestation, according to researchers who scrutinized health records from nearly 50,000 Canadian women.

The study appears in the latest issue of the Canadian Medical Association Journal.

“I would strongly suggest that women take no non-steroidal anti-inflammatory drugs during the first trimester,” said study co-author Anick Berard, a professor of epidemiology at the University of Montreal and director of the research unit on medications and pregnancy at Centre Hospitalier Universitaire Ste. Justine."If a woman is taking an NSAID for a chronic condition she really has to talk to her health care provider to see if it's feasible to stop at least during the first trimester."

Use of NSAIDs is fairly common, Berard noted, adding that studies have shown that up to 17 percent of pregnant women take the drugs, either in prescription or over-the-counter formulations. The new study investigated use of non-aspirin NSAIDs such as ibuprofen, naproxen and other drugs.

However, a leading expert in maternal fetal medicine cautioned women not to overreact to the new findings. The increased risk could be due to something else that women who took NSAIDS had in common, said Dr. Hyagriv Simhan, associate professor and chief of the division of maternal-fetal medicine at the University of Pittsburgh Medical Center and medical director of obstetrical services at Magee-Womens Hospital of UPMC.

Don't overreact, expert says “I wouldn’t want this to be a reason for women who have taken a Motrin before they realized they were pregnant to freak out,” Simhan said.

Beyond this, Simhan said, there are legitimate reasons for women to be taking NSAIDS. “This study wouldn’t necessarily make me change the way I practice,” he added.

The Canadian study compared the medical records of 4,705 women who had a miscarriage during the first 20 weeks of gestation with records of 47,050 women who became pregnant and delivered a child. The women in the study were aged 15 to 45 when they became pregnant.

Berard and her colleagues considered a woman to have been exposed to an NSAID if she had a prescription for the drug filled before she became pregnant or during early pregnancy. Most NSAIDs in Canada are available through prescription rather than over-the-counter, the authors said.

Among women who had miscarriages, 352 had taken NSAIDs, compared with 1,213 of the women who did not experience pregnancy loss.

When calculating the risk associated with NSAID use, the researchers accounted for other factors that might increase the likelihood of miscarriage, such as diabetes, high blood pressure, heart disease, asthma, lupus, rheumatoid arthritis, depression and anxiety.

Taking all those factors into account, Berard and her colleagues determined that women who took prescription NSAIDs early in pregnancy were 2.4 times as likely to have a miscarriage as those who did not. The rate of miscarriage in women who took NSAIDs was about 35 percent, compared with the normal rate of miscarriage, which is about 15 percent.

While the study didn't address the kind of over-the-counter use of NSAIDs found in the U.S., the authors cautioned against any use of the drugs in early pregnancy.

"Gestational exposure to any type or dosage of non-aspirin NSAIDs may increase risk of spontaneous abortion. These drugs should be used with caution during pregnancy," the authors concluded.

NSAIDs may affect prostaglandin levels The researchers hypothesize that NSAIDs could have an impact on pregnancy because the drugs affect the levels of hormone-like substances known as prostaglandins. Normally in pregnancy, prostaglandins decrease in the uterus in a consistent way, Berard said. It’s possible that NSAIDs cause these levels to fluctuate, she suggested.

One thing Berard and her colleagues don’t know was why the women were given prescriptions for NSAIDs. That’s an important factor, Simhan said. It’s always possible that some of the women who miscarried were taking the medications for cramping which is a sign of impending pregnancy loss, he added.

Berard doesn’t believe this is the case. Women who had miscarriages generally didn’t get more prescriptions for NSAIDs in the two weeks leading up to their pregnancy losses, she explained.  

Previous studies about the impact of NSAIDs in early pregnancy had shown mixed results, Berard said.   
Nevertheless, she does allow that this kind of study can’t prove that NSAIDs actually cause pregnancy loss.

“We cannot say for 100 percent sure that this is a true drug effect,” she said. “But we’re one step closer to proving causality when there is repetition of the finding. And there is at least one other study looking at this specifically that found an increased risk.”

msnbc.com contributor


back to reality

Good morning, blog. Haven't seen you in awhile! 

It is wonderful to be home. Not so wonderful to have piles of laundry, no groceries, bills to pay and a thousand receipts to go through. 

Ritzville, WA.
What a whirlwind of a trip. Audrey & I took off 13 days ago for Portland with my new SUV loaded with all the essentials. We spent time with friends and then the next morning, took off for a road trip to Whitefish, Montana with my parents and sister for a long-time friends wedding. 

Five hours was about Audrey's limit in the car. We spent the first night in Ritzville, Washington - named for its wheat supply given to the Ritz cracker. 

The next morning we headed out for Silverwood, Idaho, home of the Silverwood Theme Park. With the skills of a momma co hearsing her daughter to take her morning nap in the car (I had to give her all her stuffed animals, lock a blanket in place over the car seat and then proceed to rock the car seat back and forth. Phew!) - Audrey was bright-eyed and ready to play. What a blast! Could have spent more time given the large amount of rides. Audrey loved the water park and was again ready to pass out by the time we packed up for Whitefish later that evening. 

Mom's distance calculations were a little off and instead of two hours, it took about five hours from Silverwood to Whitefish making for a dark, adventurous trip. My dad got pulled over for going five over the speed limit; a few cops had to join the party with the "crazy Oregonians." With the windows down and flashlight shining, a large moth flew in the truck causing my mom to flip out, opening the door and yelling. Almost got us shot. Audrey remained sleeping, thank goodness. 

Finally, we arrived in Whitefish. The next day we spent time in the Glacier National Park and then at a good friends beautiful wedding. A great band got Audrey's attention and she, alone, danced in front of the stage, watching and loving the rock music. Future groupie. 

After a fun night and not enough sleep, we packed up and headed back the next day. Exhausted, the family stopped in Spokane, got in bed and ordered pizza. The next afternoon, we were back in Portland - with colds. 

Audrey and I rested the next two days, and then, feeling a bit better, headed to the Sunriver cabin to meet the hunter hubs who had been in the wilderness, bow hunting this whole time. 

We had a great time in Sunriver moving my sister into her college pad in Bend, drinking good beer and spending time with more family and friends. 

Ahh, so you see, it is nice to be home! Time to get this house back together!

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