Rheumatic diseases include a variety of chronic multisystem disorders with a high percentage of autoimmune conditions. Many of these diseases affect women of child-bearing age, and so pregnancy poses an important challenge for doctors looking after these women. Knowledge about medication safety, the effect of pregnancy on such diseases, and vice versa, together with preconception counseling and multidisciplinary team care, are basic pillars needed to provide the best obstetric and medical care to these women. In this review, the management of the most common autoimmune rheumatic diseases prior, during and after pregnancy will be discussed, along with the most relevant issues regarding medications.
Int J Clin Rheumatol. 2012;7(5):541-558. © 2012 Future Medicine Ltd.