Managing pregnancy in inflammatory rheumatological diseases.

Abstract:

:Historically, pregnancy in women with many inflammatory rheumatic diseases was not considered safe and was discouraged. Combined care allows these pregnancies to be managed optimally, with the majority of outcomes being favorable. Disease activity at the time of conception and anti-phospholipid antibodies are responsible for most complications. Disease flares, pre-eclampsia, and thrombosis are the main maternal complications, whereas fetal loss and intrauterine growth restriction are the main fetal complications. Antirheumatic drugs used during pregnancy and lactation to control disease activity are corticosteroids, hydroxychloroquine, sulphasalzine, and azathioprine. Vaginal delivery is possible in most circumstances, with cesarean section being reserved for complications.

journal_name

Arthritis Res Ther

authors

Jain V,Gordon C

doi

10.1186/ar3227

subject

Has Abstract

pub_date

2011-02-25 00:00:00

pages

206

issue

1

eissn

1478-6354

issn

1478-6362

pii

ar3227

journal_volume

13

pub_type

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