Pregnancy and inflammatory rheumatic diseases

被引：0
作者：
FischerBetz R. [1 ]
SpäthlingMestekemper S. [2 ]
机构：
[1] Poliklinik Für Rheumatologie, Heinrich Heine Universität Düsseldorf, 40225 Düsseldorf
[2] Rheumatologische Schwerpunktpraxis, München
来源：
Der Gynäkologe | 2013年 / 46卷 / 11期
关键词：
Antiphospholipid syndrome; Fertility; Rheumatoid arthritis; Systemic lupus erythematosus; Treatment;
D O I：
10.1007/s00129-013-3266-z
中图分类号：
学科分类号：
摘要：
Pregnancy in women with rheumatic diseases represents a challenge for patients and physicians and requires optimal shared decision-making strategies. However, the majority of women can have a successful pregnancy and the vast majority of babies are born healthy. Specific preconception care should be offered to women with rheumatic diseases to optimize and increase the chances of a successful pregnancy. A careful assessment of possible risks and the justified use of antirheumatic drugs before, during and after pregnancy are key issues.
引用
收藏
页码：823 / 836
页数：13
相关论文
共 41 条
  • [1] Clowse M.E., Chakravarty E., Costenbader K.H., Et al., Effects of infertility, pregnancy loss, and patient concerns on family size of women with rheumatoid arthritis and systemic lupus erythematosus, Arthritis Care Res, 64, 5, pp. 668-674, (2012)
  • [2] Jawaheer D., Zhu J.L., Nohr E.A., Olsen J., Time to pregnancy among women with rheumatoid arthritis, Arthritis Rheum, 63, 6, pp. 1517-1521, (2011)
  • [3] Hazes J., Coulie P.G., Geenen V., Et al., Rheumatoid arthritis and pregnancy: Evolution of disease activity and pathophysiological considerations for drug use, Rheumatology, 50, pp. 1955-1968, (2011)
  • [4] De Man Y.A., Dolhain R.J., De Van Geijn F.E., Et al., Disease activity of rheumatoid arthritis during pregnancy: Results from a nationwide prospective study, Arthritis Rheum, 59, pp. 1241-1248, (2008)
  • [5] De Man Y.A., Bakker-Jonges L.E., Dufour-Van Den Goorbergh D.B., Et al., Women with rheumatoid arthritis negative for anti-CCP and rheumatoid factor are more likely to improve during pregnancy, whereas in autoantibody positive women autoantibody levels are not influenced by pregnancy, Ann Rheum Dis, 69, 2, pp. 420-423, (2010)
  • [6] Lin H.C., Chen S.F., Lin H.C., Chen Y.H., Increased risk of adverse pregnancy outcomes in women with rheumatoid arthritis: A nation-wide population-based study, Ann Rheum Dis, 96, pp. 715-717, (2010)
  • [7] De Man Y.A., Hazes J.M., Van Der Heide H., Et al., Association of higher rheumatoid arthritis disease activity during pregnancy with lower birth weight: Results of a national prospective study, Arthritis Rheum, 60, pp. 3196-3206, (2009)
  • [8] Norgaard M., Larsson H., Pedersen L., Et al., Rheumatoid arthritis and birth outcomes: A Danish and Swedish nationwide prevalence study, J Intern Med, 268, 4, pp. 329-337, (2010)
  • [9] Wallenius M., Skomsvoll J.F., Irgens L.M., Salvesen K.A., Et al., Pregnancy and delivery in women with chronic inflammatory arthritides with a specific focus on first birth, Arthritis Rheum, 63, 6, pp. 1534-1542, (2011)
  • [10] Stensen M., Fuhrer L., Mathieu R., Et al., A prospective study of pregnant patients with rheumatoid arthritis and ankylosing spondylitis using validated clinical instruments, Ann Rheum Dis, 63, pp. 1212-1217, (2004)
12345