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

被引:9
|
作者
Castro-Gutierrez, Adela [1 ]
Young, Kristen [1 ]
Bermas, Bonnie L. [1 ]
机构
[1] UT Southwestern Med Ctr, 2001 Inwood Rd, Dallas, TX 75390 USA
关键词
Pregnancy; Rheumatoid arthritis; Systemic lupus erythematosus; Obstetric APS; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; MATERNAL EXPOSURE; DISEASE-ACTIVITY; OUTCOMES; RISK; COMPLICATIONS; METHOTREXATE; LEFLUNOMIDE; MULTICENTER; INFERTILITY;
D O I
10.1016/j.mcna.2020.10.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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. © 2020 Elsevier Inc.
引用
收藏
页码:341 / 353
页数:13
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