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Autoimmune diseases and pregnancy.
Best Practice & Research Clinical Endocrinology & Metabolism ( IF 6.1 ) Pub Date : 2019-09-11 , DOI: 10.1016/j.beem.2019.101322
Angela Tincani 1 , Cecilia Nalli 2 , Jamilya Khizroeva 3 , Victoria Bitsadze 3 , Andrea Lojacono 4 , Laura Andreoli 2 , Yehuda Shoenfeld 5 , Alexander Makatsariya 3
Affiliation  

Pregnancy in autoimmune diseases remains an argument of debate. In last years great improvements were done and with the correct medical support women with disease such as Systemic Lupus Erythematosus or Antiphospholipid Syndrome can afford a pregnancy and have healthy babies. The starting point is a good counselling. Women should be informed about risks that can occur taking some medications while pregnant and, on the other hand, that there are medications that can be safety assumed during pregnancy. Furthermore, there are known maternal risks factor such as the presence of antiphospholipid antibodies or anti-Ro/SSA antibodies that must be carefully manage by both rheumatologists and obstetrics. In addition, also disease activity during pregnancy can represent an issue. For all these reason, a multidisciplinary approach is mandatory in order to give our patients an optimal medical support, before, during and after pregnancy.

中文翻译:

自身免疫性疾病和怀孕。

自身免疫性疾病的怀孕仍然是争论的话题。在过去的几年中,妇女取得了很大的进步,并且在正确的医疗支持下,患有系统性红斑狼疮或抗磷脂综合症等疾病的妇女可以承受妊娠并拥有健康的婴儿。起点是好的辅导。应告知妇女在怀孕期间服用某些药物可能会发生的风险,另一方面,应告知孕妇在怀孕期间可以安全地服用某些药物。此外,已知的孕产妇风险因素,例如抗磷脂抗体或抗Ro / SSA抗体的存在,必须由风湿病学家和产科医师认真处理。另外,怀孕期间的疾病活动也可能是一个问题。由于所有这些原因,
更新日期:2019-09-11
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