Book contents
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 Basic Sciences in Obstetrics
- Section 2 Early Pregnancy Problems
- Section 3 Fetal Medicine
- Section 4 Maternal Medicine
- Chapter 25 Hypertensive Disorders in Pregnancy and Eclampsia
- Chapter 26 Obesity and Metabolic Syndrome in Pregnancy
- Chapter 27 Screening for Gestational Diabetes Mellitus and Care of Diabetes Mellitus in Pregnancy
- Chapter 28 Cardiac Disease in Pregnancy
- Chapter 29 Respiratory Disease in Pregnancy
- Chapter 30 Thromboembolism in Pregnancy
- Chapter 31 Haemoglobinopathies in Pregnancy
- Chapter 32 Kidney Diseases in Pregnancy
- Chapter 33 Gastrointestinal Disorders in Pregnancy
- Chapter 34 Systemic Lupus Erythematosus and Pregnancy
- Chapter 35 Autoimmune Rheumatic Disorders in Pregnancy
- Chapter 36 Thyroid Disease in Pregnancy
- Chapter 37 Infections in Pregnancy
- Chapter 38 HIV Infection in Pregnancy
- Chapter 39 Acute Management of Sepsis in Pregnancy
- Chapter 40 Psychological Disorders in Pregnancy
- Chapter 41 Pregnancy after Solid Organ Transplantation
- Chapter 42 Oral Health and Periodontal Diseases in Pregnancy
- Section 5 Intrapartum Care
- Section 6 Neonatal Problems
- Section 7 Placenta
- Section 8 Public Health Issues in Obstetrics
- Section 9 Co-Morbidities during Pregnancy
- Index
- Plate Section (PDF Only)
- References
Chapter 35 - Autoimmune Rheumatic Disorders in Pregnancy
from Section 4 - Maternal Medicine
Published online by Cambridge University Press: 20 November 2021
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 Basic Sciences in Obstetrics
- Section 2 Early Pregnancy Problems
- Section 3 Fetal Medicine
- Section 4 Maternal Medicine
- Chapter 25 Hypertensive Disorders in Pregnancy and Eclampsia
- Chapter 26 Obesity and Metabolic Syndrome in Pregnancy
- Chapter 27 Screening for Gestational Diabetes Mellitus and Care of Diabetes Mellitus in Pregnancy
- Chapter 28 Cardiac Disease in Pregnancy
- Chapter 29 Respiratory Disease in Pregnancy
- Chapter 30 Thromboembolism in Pregnancy
- Chapter 31 Haemoglobinopathies in Pregnancy
- Chapter 32 Kidney Diseases in Pregnancy
- Chapter 33 Gastrointestinal Disorders in Pregnancy
- Chapter 34 Systemic Lupus Erythematosus and Pregnancy
- Chapter 35 Autoimmune Rheumatic Disorders in Pregnancy
- Chapter 36 Thyroid Disease in Pregnancy
- Chapter 37 Infections in Pregnancy
- Chapter 38 HIV Infection in Pregnancy
- Chapter 39 Acute Management of Sepsis in Pregnancy
- Chapter 40 Psychological Disorders in Pregnancy
- Chapter 41 Pregnancy after Solid Organ Transplantation
- Chapter 42 Oral Health and Periodontal Diseases in Pregnancy
- Section 5 Intrapartum Care
- Section 6 Neonatal Problems
- Section 7 Placenta
- Section 8 Public Health Issues in Obstetrics
- Section 9 Co-Morbidities during Pregnancy
- Index
- Plate Section (PDF Only)
- References
Summary
Autoimmune rheumatic diseases (ARDs) are chronic inflammatory systemic conditions which mainly affect women and whose onset is often during childbearing age. These diseases can be characterized by either a predominant articular involvement (chronic forms of arthritis) or by a multisystemic impairment (connective tissue diseases (CTD)). Reproductive issues such as fertility, contraception, and family planning are topics of crucial interest for women with ARDs [1]. For a long time, pregnancy has been discouraged in patients with ARDs because of the concerns about poor maternal and fetal prognosis. In the last decades, the increasing knowledge about the use of antirheumatic drugs during pregnancy and lactation has paved the way to a more effective maternal disease control, leading to the improvement of pregnancy outcomes. Pre-conception risk stratification is the key point and should be part of the physician-patient communication [2]. However, this task may be overlooked by either the rheumatologist or by the gynaecologist, yielding to an unmet need in the care of women with ARDs of childbearing age [3, 4].
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- Information
- The EBCOG Postgraduate Textbook of Obstetrics & GynaecologyObstetrics & Maternal-Fetal Medicine, pp. 295 - 303Publisher: Cambridge University PressPrint publication year: 2021