High-risk pregnancy and the rheumatologist.
نویسندگان
چکیده
Rheumatologists are increasingly involved in the care of young women who, in the age of biologic therapy, are now gaining control of their rheumatic diseases and attempting pregnancy. With careful planning, most women with rheumatic diseases have successful pregnancies. This article focuses specifically on the highest-risk pregnancies and controversial areas. We discuss the women at risk of complications, the types of maternal and fetal complications, the treatments that can be used in pregnancy (and breastfeeding) and longer-term outcomes that could affect the mother. SLE, RA, ANCA-associated vasculitides, large vessel vasculitis (e.g. Takayasu's) and other CTDs (e.g. scleroderma) are among the conditions covered. The evidence and controversies regarding the recommendations for the use of biologics in pregnancy are discussed. The role of the rheumatologist in pregnancy planning and caring for the pregnant and post-partum woman as part of the multidisciplinary team is discussed.
منابع مشابه
لوپوس نوزادان بررسی دراز مدت نتایج آن در نوزادان و مادران فاقد علامت
ABSTRACT In this article pathogenesis and Mechanism of Neonatal Lupus in human and animal model was reviewed and results of two case series of Neonatal Lupus was critiszed. It is postulated that Auto-Antibodies including SSb, SSA, has a role in pathogenesis of neonatal Lupus and SSB has major role. The results of clinical case series reveal that in mothers with neonatal Lupus delivery, most of ...
متن کاملComparison of Pregnancy Self-Care, Perceived Social Support and Perceived Stress in Low-risk and High-risk Groups
Background & objectives: Although, pregnancy and delivery are natural processes in woman's life, they are stressful experiences with emotional, physical and social changes. Woman’s response to pregnancy is affected by a variety of factors, among which pregnancy age can be considered as the most important factor with significant effects on pregnancy and delivery processes. This study was conduct...
متن کاملOnm-13: Prenatal Care in High-Risk Pregnancies
Prenatal care is more than just health care in pregnancy. For the vast majority of women, pregnancy follows a routine course. Some women, however, have medical difficulties related to their health or the health of their baby. These women experience what is called a high-risk pregnancy. A pregnancy may be considered high-risk for a variety of reasons. Some of these include: diabetes, preeclampsi...
متن کاملHigh maternal hemoglobin concentration in first trimester as risk factor for pregnancy induced hypertension
Background: High maternal hemoglobin (Hb) concentration was considered a risk factor for the developing of pregnancy hypertension. The purpose of this study was to determine whether high maternal Hb concentration in first trimesters associated with pregnancy induced hypertension in Iranian nulliparous women. Methods: This study was carried out in teaching hospital in Sari, Iran. Samples were ob...
متن کاملWomen's Needs on Bed Rest during High-risk pregnancy and Postpartum Period: A Qualitative Study
Background & aim: pregnancy is a normal part of life, however, high-risk pregnancy that need bed rest can be stressful and affect woman and her family. Therefore, understanding the needs of women on bed rest seems to be necessary to enhance the quality of care services. The present study was conducted to investigate the women's needs on bed rest during high-risk pregnancy and postpartum period....
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Rheumatology
دوره 54 4 شماره
صفحات -
تاریخ انتشار 2015