Pregnancy and Management in Women with Rheumatoid Arthritis, Systemic Lupus Erythematosus, and Obstetric Antiphospholipid Syndrome

Adela Castro-Gutierrez, Kristen Young, Bonnie L. Bermas

Research output: Contribution to journalReview articlepeer-review

Abstract

Management of women with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and obstetric antiphospholipid syndrome (APS) during pregnancy presents unique clinical challenges. Women with both RA and SLE can have disease flares during pregnancy, leading to pregnancy complications, such as preeclampsia, small-for-gestational-age infants, and preterm delivery. Disease should be under control prior to conception. Women with obstetric APS need to be anticoagulated during pregnancy. Many but not all antirheumatic medications can be used during pregnancy and lactation.

Original languageEnglish (US)
Pages (from-to)341-353
Number of pages13
JournalMedical Clinics of North America
Volume105
Issue number2
DOIs
StatePublished - Mar 2021

Keywords

  • Obstetric APS
  • Pregnancy
  • Rheumatoid arthritis
  • Systemic lupus erythematosus

ASJC Scopus subject areas

  • Medicine(all)

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