Pregnancy & neonatal outcomes in spondyloarthritis

被引：3

作者：

Maguire, Sinead ^{[1
,2
]}

Molto, Anna ^{[3
,4
]}

机构：

[1] Univ Hlth Network, Toronto Western Hosp, Dept Rheumatol, Toronto, ON, Canada

[2] Univ Toronto, Sch Med, Toronto, ON, Canada

[3] Cochin Hosp, AP HP, Rheumatol Dept, Paris, France

[4] Univ Paris Cite, Ctr Rech Epidemiol & Sci Stat CRESS, INSERM, U 1153, Paris, France

来源：

BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2023年 / 37卷 / 03期

关键词：

Pregnancy; Fertility; Spondyloarthritis; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; ANKYLOSING-SPONDYLITIS; PSORIATIC-ARTHRITIS; RHEUMATOID-ARTHRITIS; DISEASE-ACTIVITY; WOMEN; HEALTH; MANAGEMENT; FERTILITY; INHIBITOR;

D O I：

10.1016/j.berh.2023.101868

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Limited research has been conducted on the impact of spondylitis (SpA) on fertility, but some studies suggest a higher risk of sub fertility in women with SpA compared to the general population. Factors associated with impaired fertility in SpA include pain, fatigue, stiffness, functional disorders, depression, anxiety, negative body image, and the use of nonsteroidal anti-inflammatory drugs (NSAIDs) preconceptionally, while TNF alpha inhibitors may play a role in improving fertility in certain cases.There has been a recent increase in clinical research focused on pregnancy outcomes in SpA. However, clear trends in terms of risk of pregnancy and fetal complications have been slow to emerge and many questions remain for women with SpA planning a pregnancy. This article discusses the current evidence for risk of specific pregnancy and fetal complications in women with axial and psoriatic SpA. (c) 2023 Elsevier Ltd. All rights reserved.

引用

页数：11

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