Contraception and Pregnancy in Patients with Rheumatic Disease

1. Front Matter

   Pages i-xiii

   PDF

2. Basics of Pregnancy

   1. Front Matter

      Pages 1-1

      PDF

   2. Immunology of Pregnancy

      • Danny J. Schust, Amanda J. Stephens

      Pages 3-30

   3. Normal Pregnancy, Pregnancy Complications, and Obstetric Management

      • D. Ware Branch, Luchin F. Wong

      Pages 31-62

   4. General Approach: Pre-pregnancy Assessment of the Rheumatic Disease Patient

      • Lisa R. Sammaritano, Bonnie L. Bermas

      Pages 63-75

3. Pregnancy in Specific Rheumatic Diseases

   1. Front Matter

      Pages 77-77

      PDF

   2. Systemic Lupus Erthematosus

      • Sara Wasserman, Megan E. B. Clowse

      Pages 79-97

   3. Pregnancy in Sjogren’s Syndrome, Mixed Connective Tissue Disease, and Undifferentiated Connective Tissue Disease

      • Bonnie L. Bermas, Lisa R. Sammaritano

      Pages 99-107

   4. Antiphospholipid Syndrome

      • Alana B. Levine, Michael D. Lockshin

      Pages 109-137

   5. Rheumatoid Arthritis and Seronegative Spondyloarthropathy

      • Monika Østensen, Marianne Wallenius

      Pages 139-158

   6. Pregnancy in Patients with Systemic Sclerosis

      • Cecily A. Clark-Ganheart, Julia Timofeev, Virginia D. Steen

      Pages 159-170

   7. Vasculitis and Pregnancy

      • Lindsay Lally, Robert F. Spiera

      Pages 171-183

   8. Myositis and Pregnancy

      • Stephen J. Di Martino

      Pages 185-197

4. Additional Reproductive Issues

   1. Front Matter

      Pages 199-199

      PDF

   2. Contraception in Rheumatic Disease Patients

      • Lisa R. Sammaritano

      Pages 201-227

   3. Assisted Reproductive Techniques in Rheumatic Disease Patients

      • Carl A. Laskin, Kenneth I. Cadesky, Christine A. Clark, Karen A. Spitzer

      Pages 229-249

   4. Neonatal Lupus

      • Barbara Mendez, Amit Saxena, Jill P. Buyon, Peter M. Izmirly

      Pages 251-272

   5. The Medical Management of the Rheumatology Patient During Pregnancy

      • Bonnie L. Bermas

      Pages 273-287

   6. Long-Term Outcome of Children of Rheumatic Disease Patients

      • Cecilia Nalli, Alessandro Iodice, Rossella Reggia, Laura Andreoli, Andrea Lojacono, Mario Motta et al.

      Pages 289-303

5. ERRATUM: The Medical Management of the Rheumatology Patient During Pregnancy

   • Bonnie L. Bermas

   Pages E1-E1

Rheumatic (or systemic autoimmune) diseases disproportionately affect young women: the female-to-male ratio for patients with systemic lupus erythematosus during the reproductive years is approximately 9:1. In the mid- to late-twentieth century, women with rheumatic disease diagnoses were often advised to avoid pregnancy due to fear of disease exacerbation and adverse outcome. In more recent years, many women with rheumatic disease have deferred childbearing until a later age due to active disease or unsafe therapies. However, with advances in rheumatology therapies, obstetric monitoring, and reproductive medicine technologies, increasing numbers of women with rheumatic diseases are pursuing pregnancy. As a result, obstetricians and rheumatologists need to be aware of the current state of knowledge and the recommendations for management of pregnancy in these patients. Contraception and Pregnancy in Patients with Rheumatic Disease explains the basics of contraception, fertility treatment, and pregnancy in rheumatic disease patients and serves as a guide and reference tool for both rheumatologists and OB/GYNs. Most general rheumatologists and OB/GYNs have limited experience in caring for rheumatic disease patients during pregnancy, and many do not have ready access to expert colleagues in this area. This book summarizes the current state of knowledge and presents a general approach for assessment of the rheumatic disease patient considering pregnancy, hormonal contraception or infertility treatment.

• Contraception
• Pregnancy
• Rheumatic Disease
• preeclampsia
• systemic autoimmune

• Division of Rheumatology, Hospital for Special Surgery Weill Cornell Medical College, New York, USA

  Lisa R. Sammaritano

• Division of Rheumatology, Brigham and Women's Hospital, Boston, USA

  Bonnie L. Bermas

Lisa R. Sammaritano

Weill Cornell Medical College

New York, NY

USA

 

Bonnie L. Bermas

Division of Rheumatology

Brigham and Women’s Hospital

Harvard Medical School

Boston, MA

USA

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