Pregnancy deutsche rheuma liga bundesverband e. V

To look into the shining eyes of a child: This wish can also be fulfilled by rheumatism sufferers – in most rheumatic diseases, pregnancy is successful.

However, patients should discuss their desire to have children with their treating physicians (usually the rheumatologist and gynecologist) and optimally plan a pregnancy. In addition, sick persons must observe some special features if they are taking medication.

The most favorable time for pregnancy

In some diseases, for example systemic lupus erythematosus, relapses are more frequent during pregnancy and the months after delivery than outside pregnancy. In contrast, the joint situation in rheumatoid arthritis often improves during pregnancy, but usually worsens after birth – in which case it can be difficult to care for the newborn. A continuation of one with a pregnancy. Lactation time to agree drug treatment is therefore often advisable. In any case, the pregnancy should be planned at a time when the disease is being treated in the best possible way and the disease activity is low.

Rheumatism medications during pregnancy and breastfeeding

Before a planned pregnancy an evaluation of the security of rheumatism medicines should always take place regarding pregnancy and lactation period. Some medications can be continued during pregnancy, while others must be discontinued prior to a planned pregnancy. be switched to another medication. If a patient on therapy becomes pregnant unplanned, the further course of action must be clarified together with the treating physicians. Together with the rheumatologist is in pregnancy. Always adapt the therapy to the disease activity during breastfeeding. Many patients with episodes of the disease after childbirth do not take their rheumatism medication because they are worried that they will not be able to breastfeed their child. However, breastfeeding is possible under many medications, so it is wrong not to treat a severe joint flare-up. Here you will find an overview of rheumatism medications during pregnancy and breastfeeding.

Pregnancy planning in systemic lupus erythematosus (SLE)

In particular, women with rheumatic diseases that may also affect internal organs and the vascular system (such as z.B. SLE or other collagenoses), must carefully plan a pregnancy. Before pregnancy, the disease should be well controlled. In pregnancy, both regular gynecological and rheumatological progress controls are required. Women with SLE have an increased risk of premature birth and pregnancy loss compared to healthy women. This risk can be significantly reduced by an adapted therapy.

Rheumatism sufferers must pay attention to the following when using contraception

Women with rheumatic diseases should avoid an unplanned pregnancy and therefore choose safe contraception. The choice of the most suitable contraceptive method should be discussed with the gynecologist and rheumatologist. Women with rheumatoid arthritis may use estrogen-containing contraceptives if there are no other reasons not to (z.B. smoking or concomitant diseases such as thrombosis). Women with SLE should use estrogens only if the disease is controlled. Beforehand, it should be known whether or not they have antiphospholipid antibodies in their blood – the detection of these antibodies is associated with an increased risk of thrombosis.

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