Pregnancy in patients with rheumatoid arthritis and inflammatory spondylarthropathies

The activity of a rheumatic disease can be influenced by pregnancy and puerperium. Prospective studies have shown an improvement in joint involvement in rheumatoid arthritis in two thirds to three quarters of pregnancies. After birth, an exacerbation is common. In spondylarthropathies there is no re...

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Bibliographic Details
Published in:Zeitschrift für Rheumatologie 2006-05, Vol.65 (3), p.209
Main Authors: Gromnica-Ihle, E, Ostensen, M
Format: Article
Language:ger
Subjects:
Antirheumatic Agents - adverse effects
Antirheumatic Agents - therapeutic use
Arthritis, Rheumatoid - diagnosis
Arthritis, Rheumatoid - drug therapy
Arthritis, Rheumatoid - immunology
Female
Fetal Death - etiology
Humans
Infant, Newborn
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - drug therapy
Pregnancy Complications - immunology
Pregnancy Outcome
Pregnancy, High-Risk
Prognosis
Remission, Spontaneous
Spondylitis, Ankylosing - diagnosis
Spondylitis, Ankylosing - drug therapy
Spondylitis, Ankylosing - immunology
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Summary:The activity of a rheumatic disease can be influenced by pregnancy and puerperium. Prospective studies have shown an improvement in joint involvement in rheumatoid arthritis in two thirds to three quarters of pregnancies. After birth, an exacerbation is common. In spondylarthropathies there is no relevant change in disease activity. The fetal outcome is not impaired in patients with rheumatoid arthritis and inflammatory spondylarthropathies. Every pregnancy in women with a rheumatic disease should be considered as high-risk, and such pregnancies require close collaboration between rheumatologists and obstetricians.
ISSN:0340-1855
DOI:10.1007/s00393-006-0053-4