Evaluation of preterm delivery in a systemic lupus erythematosus pregnancy clinic.

Abstract:

OBJECTIVE:To identify the primary etiology of preterm birth in women with systemic lupus erythematosus, analyzing prospective data collected on 66 pregnancies in 58 women followed-up at a lupus pregnancy center. METHODS:Hospital records were reviewed and subjects were interviewed for pregnancies delivered after 23 completed weeks' gestation in women cared for at the Hopkins Lupus Pregnancy Center. A control group consisted of all women delivered at the same hospital during 2 years of the study period. RESULTS:Preterm premature rupture of membranes (PROM) occurred in 13 of 33 (39%) pregnancies delivered at 24-36 weeks' gestation. In addition, term PROM also occurred with high incidence in ten of 33 (30.3%) pregnancies delivered after 36 weeks' gestation. The rate of PROM in study subjects differed from that in controls at 34-36 weeks' gestation and after 36 weeks. CONCLUSION:Premature rupture of membranes is more common in pregnancies occurring in women with systemic lupus erythematosus than in control pregnancies. Disease activity, prednisone use, and serologic studies are not predictive. Premature rupture of membranes is the major etiology of preterm birth in this cohort.

journal_name

Obstet Gynecol

authors

Johnson MJ,Petri M,Witter FR,Repke JT

doi

10.1016/0029-7844(95)00186-U

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

396-9

issue

3

eissn

0029-7844

issn

1873-233X

pii

0029-7844(95)00186-U

journal_volume

86

pub_type

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