Management of pregnancy in women with rheumatoid arthritis

The Medical Journal of Australia
Gene-Siew NgianSharon Van Doornum

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.

References

Jun 1, 1994·Arthritis and Rheumatism·P Brennan, A Silman
Oct 6, 1998·Scandinavian Journal of Rheumatology. Supplement·J F SkomsvollV Baste
Sep 2, 2008·Arthritis and Rheumatism·Yaël A de ManJohanna M W Hazes
Mar 8, 2011·Arthritis and Rheumatism·Damini JawaheerJørn Olsen
Apr 5, 2013·Arthritis Care & Research·Jenny BrouwerRadboud J E M Dolhain
Mar 15, 2014·Current Opinion in Rheumatology·Benjamin Hassid, Uma Mahadevan
Mar 26, 2014·Current Opinion in Rheumatology·Meredith ProvostMegan E B Clowse
Jul 17, 2015·The Journal of Rheumatology·Marianne WalleniusJohan F Skomsvoll

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