Pregnancy Outcomes in Japanese Patients with SLE: Retrospective Review of 55 Pregnancies at a University Hospital View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-03-11

AUTHORS

Haruko Ideguchi, Shigeru Ohno, Takeaki Uehara, Yoshiaki Ishigatsubo

ABSTRACT

Systemic lupus erythematosus (SLE) is mainly a disease of fertile women and the coexistence of pregnancy is by no means a rare event. How SLE and its treatment affect pregnancy outcomes is still a matter of debate. We performed a retrospective analysis of 41 SLE patients (55 pregnancies) who were followed at our university hospital from January 2000 to December 2009. The mean age of patients was 30.6 ± 4.8 years and mean disease duration was 6.6 ± 5.3 years. After exclusion of artificial abortions, live birth rate was 84%. Significantly, more women with stillbirth pregnancies were complicated with antiphospholipid syndrome (APS) than women with live birth pregnancies (two of eight stillbirth pregnancies (25%) versus one of 42 live birth pregnancies (2%); p = 0.014) and hypocomplementemia at conception (four of eight stillbirth pregnancies (50%) versus six of 42 live birth pregnancies (14%); p = 0.021). Compared with nonrenal pregnancies, renal pregnancies were younger at SLE disease onset, had a lower positivity of anti-RNP antibody, and were more complicated with pregnancy-induced hypertension. Past maximum dose of prednisolone, the dose of prednisolone at conception, and percentage of past steroid pulse therapy were higher in renal pregnancies. Outcomes of pregnancies were not significantly different both for mothers and for infants between renal and nonrenal pregnancies. We conclude that it is necessary to provide SLE mothers with the proper information before pregnancy. Women with APS or hypocomplementemia should be regarded with particular attention. Optimal management of mothers and infants requires collaborative efforts of rheumatologists and obstetricians. More... »

PAGES

57-64

References to SciGraph publications

  • 2009-07-15. Pregnancy and Systemic Lupus Erythematosus: Review of Clinical Features and Outcome of 51 Pregnancies at a Single Institution in CLINICAL REVIEWS IN ALLERGY & IMMUNOLOGY
  • <error retrieving object. in <ERROR RETRIEVING OBJECT
  • 2004-03-30. Pregnancy outcome in lupus nephropathy in ARCHIVES OF GYNECOLOGY AND OBSTETRICS
  • 2010-08-01. Pregnancy outcome in systemic lupus erythematosus: Asia’s largest single centre study in ARCHIVES OF GYNECOLOGY AND OBSTETRICS
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    http://scigraph.springernature.com/pub.10.1007/s12016-011-8269-8

    DOI

    http://dx.doi.org/10.1007/s12016-011-8269-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1039965744

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/21394426


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