Management of pregnancy in women with rheumatoid arthritis

Gene-Siew Ngian; Andrew M. Briggs; Ilana N. Ackerman; Sharon Van Doornum

doi:10.5694/mja15.00365

Management of pregnancy in women with rheumatoid arthritis

Gene-Siew Ngian, Andrew M. Briggs, Ilana N. Ackerman, Sharon Van Doornum

Research output: Contribution to journal › Article › Other › peer-review

8 Citations (Scopus)

Abstract

•Rheumatoid arthritis (RA) disease activity may improve during pregnancy but postpartum flares are common. • Patients taking disease-modifying antirheumatic drugs should be counselled about effective contraception. • Knowledge about drug safety in pregnancy is limited but the Therapeutic Goods Administration categories and online resources are a guide to the data currently available. • Begin prepregnancy counselling as early as possible to allow for cessation of teratogenic medications and optimisation of RA disease control. • For unplanned pregnancies, cease teratogenic medications immediately and refer to a genetic counsellor and maternal-fetal medicine specialist for risk assessment and advice.

Original language	English
Pages (from-to)	62-63
Number of pages	3
Journal	The Medical Journal of Australia
Volume	204
Issue number	2
DOIs	https://doi.org/10.5694/mja15.00365
Publication status	Published - 1 Feb 2016
Externally published	Yes

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10.5694/mja15.00365

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AU - Ackerman, Ilana N.

AU - Van Doornum, Sharon

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AB - •Rheumatoid arthritis (RA) disease activity may improve during pregnancy but postpartum flares are common. • Patients taking disease-modifying antirheumatic drugs should be counselled about effective contraception. • Knowledge about drug safety in pregnancy is limited but the Therapeutic Goods Administration categories and online resources are a guide to the data currently available. • Begin prepregnancy counselling as early as possible to allow for cessation of teratogenic medications and optimisation of RA disease control. • For unplanned pregnancies, cease teratogenic medications immediately and refer to a genetic counsellor and maternal-fetal medicine specialist for risk assessment and advice.

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Management of pregnancy in women with rheumatoid arthritis

Abstract

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Information needs of women with rheumatoid arthritis concerning pregnancy and post-natal care: August 2015

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