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Managing contraception and pregnancy in the rheumatologic diseases.

Publication ,  Journal Article
Clowse, MEB
Published in: Best Pract Res Clin Rheumatol
June 2010

Most pregnancies in women with rheumatologic disease will result in the delivery of a healthy baby. Pregnancy can be particularly risky in women with active disease or on teratogenic medications, making contraception an important issue for these women. All women with rheumatologic disease have contraceptive options, including barrier methods, the intra-uterine device and progesterone-only medications. Active inflammatory disease, whether in the form of lupus, systemic vasculitis or myositis, places the pregnancy at increased risk. Pre-eclampsia is a particular risk for women with lupus or antiphospholipid syndrome and may be decreased by daily low-dose aspirin. Rheumatoid arthritis typically improves and does not have a major impact on pregnancy outcomes. The expected post-partum arthritis flare may be avoided by restarting medications soon after delivery. Judicious use of medication and close observation may be the keys to successful pregnancy in women with rheumatologic disease.

Duke Scholars

Published In

Best Pract Res Clin Rheumatol

DOI

EISSN

1532-1770

Publication Date

June 2010

Volume

24

Issue

3

Start / End Page

373 / 385

Location

Netherlands

Related Subject Headings

  • Vasculitis
  • Scleroderma, Limited
  • Rheumatic Diseases
  • Pregnancy Outcome
  • Pregnancy Complications
  • Pregnancy
  • Myositis
  • Lupus Erythematosus, Systemic
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Clowse, M. E. B. (2010). Managing contraception and pregnancy in the rheumatologic diseases. Best Pract Res Clin Rheumatol, 24(3), 373–385. https://doi.org/10.1016/j.berh.2009.12.004
Clowse, Megan E. B. “Managing contraception and pregnancy in the rheumatologic diseases.Best Pract Res Clin Rheumatol 24, no. 3 (June 2010): 373–85. https://doi.org/10.1016/j.berh.2009.12.004.
Clowse MEB. Managing contraception and pregnancy in the rheumatologic diseases. Best Pract Res Clin Rheumatol. 2010 Jun;24(3):373–85.
Clowse, Megan E. B. “Managing contraception and pregnancy in the rheumatologic diseases.Best Pract Res Clin Rheumatol, vol. 24, no. 3, June 2010, pp. 373–85. Pubmed, doi:10.1016/j.berh.2009.12.004.
Clowse MEB. Managing contraception and pregnancy in the rheumatologic diseases. Best Pract Res Clin Rheumatol. 2010 Jun;24(3):373–385.
Journal cover image

Published In

Best Pract Res Clin Rheumatol

DOI

EISSN

1532-1770

Publication Date

June 2010

Volume

24

Issue

3

Start / End Page

373 / 385

Location

Netherlands

Related Subject Headings

  • Vasculitis
  • Scleroderma, Limited
  • Rheumatic Diseases
  • Pregnancy Outcome
  • Pregnancy Complications
  • Pregnancy
  • Myositis
  • Lupus Erythematosus, Systemic
  • Humans
  • Female