2019-12-01
Current perspectives on fertility, pregnancy and childbirth in patients with Rheumatoid Arthritis
Publication
Publication
Seminars in Arthritis and Rheumatism , Volume 49 - Issue 3 p. S32- S35
Rheumatoid Arthritis (RA) is common in the reproductive age. Women with RA have an impaired fertility related to the use of certain medication and active disease. RA usually improves during pregnancy, however almost half of the patients still have active disease in third trimester. Pregnancy outcomes are slightly less favorable, especially in women with high disease activity. Managing RA during pregnancy is challenging, because treatment options are limited. Accumulating evidence shows the safety of Tumor Necrosis Factor inhibitors in pregnant RA patients and patients with a wish to conceive. This paper reviews the current perspective on fertility, pregnancy and childbirth in women with RA and discusses treatment options before and during pregnancy.
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| , , , , | |
| doi.org/10.1016/j.semarthrit.2019.09.010, hdl.handle.net/1765/121906 | |
| Seminars in Arthritis and Rheumatism | |
| Organisation | Erasmus MC: University Medical Center Rotterdam |
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Smeele, H.T.W. (H. T.W.), & Dolhain, R. (2019). Current perspectives on fertility, pregnancy and childbirth in patients with Rheumatoid Arthritis. Seminars in Arthritis and Rheumatism, 49(3), S32–S35. doi:10.1016/j.semarthrit.2019.09.010 |
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