Systemic lupus erythematosus and pregnancySSystemic lupus erythematosus and pregnancySystemic lupus erythematosus and pregnancyEnglishPregnancyAdult (19+)BodyReproductive systemConditions and diseasesPrenatal Adult (19+)NA2009-09-11T04:00:00Z11.000000000000047.0000000000000706.000000000000Flat ContentHealth A-Z<p>Learn about the symptoms of systemic lupus erythematosus and its effects on pregnancy. Treatment of lupus during pregnancy is also discussed.</p><p>Systemic lupus erythematosus, a condition that is often simply referred to as "lupus," affects many systems of the body. It occurs in one of every 700 people and is more likely to affect black women and women of childbearing age. Pregnancy does not affect the incidence of lupus. </p><h2>Key points</h2> <ul><li>Lupus is a chronic disease with periods of active disease called "flares," followed by periods of remission.</li> <li>Lupus does not affect the ability to become pregnant, and most women with lupus can have a successful pregnancy.</li> <li>Risks of pregnancy loss, premature birth, or a having a baby with a congenital heart block are increased in women with lupus.</li> <li>Women with lupus should consult their doctor before they start trying to become pregnant.</li></ul>
Lupus érythémateux disséminé et grossesseLLupus érythémateux disséminé et grossesseSystemic lupus erythematosus and pregnancyFrenchPregnancyAdult (19+)BodyReproductive systemConditions and diseasesPrenatal Adult (19+)NA2009-09-11T04:00:00Z11.000000000000047.0000000000000706.000000000000Flat ContentHealth A-Z<p>Apprenez-en davantage sur les symptômes du lupus érythémateux disséminé. Cette section fournit également de l’information sur le traitement du lupus pendant la grossesse.</p><p>Le lupus érythémateux disséminé, couramment appelé « lupus », est une maladie qui affecte plusieurs systèmes du corps. Il se déclare chez une personne sur 700, particulièrement les femmes noires et les femmes en âge de procréer. La grossesse n’intervient pas dans l’occurrence du lupus. </p><h2>À retenir</h2> <ul><li>Le lupus est une maladie chronique qui se traduit par des épisodes actifs appelés « éruptions », suivis de périodes de rémission.</li> <li>Le lupus ne fait pas obstacle à la grossesse et la plupart des femmes qui en sont atteintes donnent naissance à des bébés en bonne santé.</li> <li>Les risques d’interruption de grossesse, de naissance prématurée ou que le bébé soit atteint d’une cardiopathie congénitale appelée blocage cardiaque augmentent chez les femmes atteintes de lupus.</li> <li>Les femmes atteintes de lupus doivent consulter leur médecin avant de commencer à essayer d’être enceintes. </li></ul>

 

 

Systemic lupus erythematosus and pregnancy367.000000000000Systemic lupus erythematosus and pregnancySystemic lupus erythematosus and pregnancySEnglishPregnancyAdult (19+)BodyReproductive systemConditions and diseasesPrenatal Adult (19+)NA2009-09-11T04:00:00Z11.000000000000047.0000000000000706.000000000000Flat ContentHealth A-Z<p>Learn about the symptoms of systemic lupus erythematosus and its effects on pregnancy. Treatment of lupus during pregnancy is also discussed.</p><p>Systemic lupus erythematosus, a condition that is often simply referred to as "lupus," affects many systems of the body. It occurs in one of every 700 people and is more likely to affect black women and women of childbearing age. Pregnancy does not affect the incidence of lupus. </p><h2>Key points</h2> <ul><li>Lupus is a chronic disease with periods of active disease called "flares," followed by periods of remission.</li> <li>Lupus does not affect the ability to become pregnant, and most women with lupus can have a successful pregnancy.</li> <li>Risks of pregnancy loss, premature birth, or a having a baby with a congenital heart block are increased in women with lupus.</li> <li>Women with lupus should consult their doctor before they start trying to become pregnant.</li></ul><h2>Symptoms of lupus</h2><p>Lupus is a chronic disease with periods of active disease called "flares," followed by periods of remission. The main symptom is joint pain. Other symptoms may include mouth ulcers, fever, skin rash, kidney problems, and high blood pressure. Lupus is sometimes difficult to diagnose because the symptoms are vague and vary from person to person. A person may be classified with lupus if they meet four of the following criteria: </p><ul><li>a butterfly-shaped rash on the cheeks or circular, red areas of skin </li><li>ulcers in the mouth </li><li>sun sensitivity </li><li>arthritis in two or more joints </li><li>an inflammation of the lungs called pleurisy or an inflammation of the heart called pericarditis </li><li>seizures, psychosis, or other neurological conditions </li><li>kidney problems </li><li>blood disorders </li><li>immunological disorders as diagnosed through blood tests </li><li>presence of antinuclear antibody in the blood </li></ul><h2>Effects of lupus on the pregnant mother</h2><p>Lupus does not affect the ability to become pregnant, and most women with lupus can have a successful pregnancy. During pregnancy, some women find that their flares get worse, and some find that they improve. </p><p>If you have lupus with kidney involvement, there is an increased chance of high blood pressure during pregnancy and a small chance that pregnancy will cause permanent damage to the kidneys. </p><h2>Effects of lupus on the unborn baby</h2><p>Pregnant women with lupus are considered high-risk. The risks of pregnancy loss (miscarriage/spontaneous abortion) or premature birth are increased in women who have lupus. </p><p>One condition of concern in pregnant women with lupus is the possibility of the baby developing a heart condition called congenital heart block. Congenital heart block causes the baby’s heart to beat about 40 to 60 times per minute instead of the normal 110 to 160 times per minute. If the unborn baby is diagnosed with congenital heart block, there may be other heart defects. Therefore, the unborn baby will need a kind of heart ultrasound, called a fetal echocardiogram, to check for these abnormalities. The baby will also be monitored by ultrasound every one or two weeks. </p><p>There is also an increased risk that the unborn baby may develop a swelling called hydrops. This is a sign that the baby may be having congestive heart failure. If this happens, you and the unborn baby will need to monitored in hospital and the baby may need to be delivered prematurely. Your risk of having a baby with heart problems is greater if you are producing certain types of antibodies. </p><h2>Treatment of lupus in pregnancy</h2><p>Although lupus is considered high-risk in pregnancy, careful monitoring by your obstetrician, in conjunction with a rheumatologist, should result in a safe pregnancy and a healthy baby. </p><p>Ideally, you should consult your doctor before you start trying to become pregnant. The timing of conception is important and pregnancy usually goes more smoothly if conception occurs during a long remission. Before you become pregnant, you should be tested for certain antibodies and a 24-hour urine test will be required. Your doctor will discuss the results with you and determine what impact they might have on your pregnancy. You should also discuss the medications you are taking. You may need to take new medications during pregnancy. </p><p>You should have an ultrasound within the first 12 weeks of pregnancy, or as soon as possible if you find out you are pregnant after 12 weeks gestation. More ultrasounds can be held every four to six weeks to assess the growth of the developing baby. Your medical visits and laboratory tests will be more frequent than the average pregnant woman. You may need more 24-hour urine testing to monitor your kidney function. You might also need non-stress testing, where a fetal monitor is used to assess the baby’s heart rate. </p><p>Childbirth is usually normal in women with lupus, unless the baby has fetal growth restriction or the mother has high blood pressure. </p><p>For more information, see our Health A-Z on <a href="/Article?contentid=920&language=English">Lupus</a>.</p>https://assets.aboutkidshealth.ca/AKHAssets/systemic_lupus_erythematosus_and_pregnancy.jpgSystemic lupus erythematosus and pregnancy

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