Lupus and pregnancy
Lupus and pregnancy can present some particular challenges for both mother and child.
While most infants born to mothers who have
Women pregnant and known to have
Of live births, approximately one third are delivered
Miscarriage
Lupus causes an increased rate of fetal death in utero and
Miscarriages in the
Neonatal lupus
Aggravation of lupus
Aggravation (or exacerbation) of lupus has been estimated to occur in about 20-30% pregnancies where the mother has lupus.
Renal disease flare-up is the most common presentation of lupus aggravation in pregnancy, and is seen equally in United States and European populations.[2] Serositis with pleural and pericardial effusions are seen in up to 10% of these patients.[2]
On the other hand, flares of lupus are uncommon during pregnancy and are often easily treated.
Also, in the postpartum period, there may be exacerbations of lupus due to decreased levels of anti-inflammatory steroids, elevated levels of prolactin and estrogen and progesterone changes.[2]
In diagnosing an aggravation of lupus in pregnancy, there need to be a
General preventive measures
Continuing glucocorticoids at the lowest effective dose and/or cautious use of azathioprine may be preferred in some patients, but needs to be weighed against potential adverse effects of such medications.[2]
References
- ^ "Planning a pregnancy when you have lupus | Lupus Foundation of America". www.lupus.org. Retrieved 2020-10-25.
- ^ a b c d e f g h i j k l m Systemic Lupus Erythematosus and Pregnancy at Medscape. Author: Ritu Khurana. Chief Editor: David Chelmow. Updated: Sep 20, 2010
- ^ "Planning a pregnancy when you have lupus | Lupus Foundation of America". www.lupus.org. Retrieved 2020-10-25.
- PMID 22112525.)
{{cite journal}}
: CS1 maint: multiple names: authors list (link - ^ "Handout on Health: Systemic Lupus Erythematosus". The National Institute of Arthritis and Musculoskeletal and Skin Diseases. National Institutes of Health. August 2003. Retrieved 2007-11-23.
- PMID 20688887. Retrieved 20 April 2011.
- PMID 12048290.
- ^ a b c Lupus and Pregnancy by Michelle Petri. The Johns Hopkins Lupus Center. Retrieved May 2011
- ^ a b thefreedictionary.com > neonatal lupus Citing: Dorland's Medical Dictionary for Health Consumers. Copyright 2007
- ^ "Pregnancy". Retrieved 23 July 2017.
- ^ "Praticar Exercicios Durante Gravidez". Barriga Sonho. 24 July 2017. Retrieved 6 September 2017.
External links
- Systemic Lupus Erythematosus and Pregnancy at Medscape. Author: Ritu Khurana. Chief Editor: David Chelmow.