Rheumatology-led pregnancy clinic: enhancing the care of women with rheumatic diseases during pregnancy

Journal article

El Miedany, Y. and Palmer, D. 2020. Rheumatology-led pregnancy clinic: enhancing the care of women with rheumatic diseases during pregnancy. Clinical Rheumatology. 39 (12), pp. 3593-3601. https://doi.org/10.1007/s10067-020-05173-6
AuthorsEl Miedany, Y. and Palmer, D.
Abstract

The autoimmune rheumatic diseases have a clear predilection for women. Consequently, issues regarding family planning and pregnancy are a vital component of the management of these patients. Not only does pregnancy by itself causes physiologic/immunologic changes that impact disease activity but also women living with inflammatory arthritic conditions face the additional challenges of reduced fecundity and worsened pregnancy outcomes. Many women struggle to find adequate information to guide them on pregnancy planning, lactation and early parenting in relation to their chronic condition. This article discusses the gaps in the care provided to women living with inflammatory arthritis in standard practice and how a rheumatology nurse-led pregnancy clinic would fill such gap, consequently enhance the care provided and ensure appropriate education is provided to these individuals who represent the majority of the patients attending the rheumatology outpatient clinics. Such specialist care is expected to cover the whole journey as it is expected to provide high-quality care before, during and after pregnancy.

KeywordsAutoimmune rheumatic diseases; Contraception; Counselling; Family planning; Pregnancy; Psoriatic arthritis; Rheumatoid arthritis; Rheumatology nurse; Systemic lupus erythematosus; Women’s health
Year2020
JournalClinical Rheumatology
Journal citation39 (12), pp. 3593-3601
PublisherSpringer
ISSN0770-3198
1434-9949
Digital Object Identifier (DOI)https://doi.org/10.1007/s10067-020-05173-6
Official URLhttps://link.springer.com/article/10.1007/s10067-020-05173-6
Publication dates
Print03 Jun 2020
Publication process dates
Accepted15 May 2020
Deposited16 Jun 2022
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