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Rheumatic and autoimmune diseases are often present in women during
the childbearing years and as such, correct management of pregnancy
throughout its course is of significance to all those affected.
Previously women with systemic rheumatic diseases were counselled
against pregnancy as the majority of medications carried potential
or perceived teratogenic risk. But in recent years new therapies
have emerged that have advanced treatment. Patients have
experienced significant improvements in physical function, quality
of life, and reduced damage accrual. As a result, an expanded cadre
of health care providers now need to be able to manage pregnancy in
women with underlying rheumatic disease, both in acute or chronic
settings. Practical Management of the Pregnant Patient with
Rheumatic Disease is a quick-access guide of the most up-to-date
understanding of the interplay between pregnancy and rheumatic
diseases and principles of management before, during and after
pregnancy assisting in decision making regarding treatment of women
with autoimmune diseases. This collection of 70 cases covers
pregnancy counseling, the management of disease flares,
thromboembolic disease, the management of patients with end organ
disease, advice on medications, obstetric complications, infections
and the management of rare diseases in women with rheumatic
diseases before and during pregnancy and post-partum. The handbook
provides concise recommendations for all providers who may
encounter women of child-bearing age including rheumatologists,
gynaecologists, paediatricians, primary care providers and health
professionals dealing with pre-conceptional and pregnant women with
rheumatic diseases.
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