The challenge of pregnancy for patients with SLE

Pregnancy poses an important challenge for doctors looking after women with systemic lupus erythematosus. Knowledge about safety of medications, the effect of pregnancy on such disease, and vice versa, together with multidisciplinary team care, are basic cornerstones needed to provide the best obste...

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Bibliographic Details
Published in:Lupus 2013-10, Vol.22 (12), p.1295-1308
Main Authors: Ateka-Barrutia, O, Khamashta, MA
Format: Article
Language:English
Subjects:
Counseling - methods
Creatinine
Female
Humans
Infant, Newborn
Lung diseases
Lupus
Lupus Erythematosus, Systemic - physiopathology
Lupus Erythematosus, Systemic - therapy
Obstetrics
Patient Care Team - organization & administration
Postpartum Period
Preconception Care - methods
Pregnancy
Pregnancy Complications - physiopathology
Pregnancy Complications - therapy
Pregnancy Outcome
Prenatal Care - methods
Pulmonary hypertension
Remission (Medicine)
Steroids
Womens health
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Summary:Pregnancy poses an important challenge for doctors looking after women with systemic lupus erythematosus. Knowledge about safety of medications, the effect of pregnancy on such disease, and vice versa, together with multidisciplinary team care, are basic cornerstones needed to provide the best obstetric and medical care to these women. Pre-conceptional counselling constitutes the ideal scenario where a patient's previous obstetric history, organ damage, disease activity, serological profile and additional medical history can be summarized. Important issues regarding medication adjustment, planned scans and visits, and main risks discussion should also be raised at this stage. Planned pregnancies lead to better outcomes for both mothers and babies. Close surveillance throughout pregnancy and the puerperium, and tailored management approach guarantee the highest rates of successful pregnancies in these women.
ISSN:0961-2033
1477-0962
DOI:10.1177/0961203313504637