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Books > Medicine > Clinical & internal medicine > Gynaecology & obstetrics
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Contraception and Pregnancy in Patients with Rheumatic Disease (Hardcover, 2014)
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Contraception and Pregnancy in Patients with Rheumatic Disease (Hardcover, 2014)
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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.
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