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I don't think it is going completely unused in the states, I think it is more commonly used as a mn. In fact its a bit of a filler mn, when nothing else seems to fit Louise probably will. It is a nice enough name, but it has a little bit of old fashioned-ness to over come in an age when creative spellings, trendy names, surnames, and gender neutral names are ruling the top 1000. As older names climb the charts, Louise or Louisa will make its way back in.