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Obstetrics and pregnancy 

Obstetrics and pregnancy
Obstetrics and pregnancy
Oxford Textbook of Rheumatology (4 ed.)

Monika Østensen

, Radboud Dolhain

, and Guillermo Ruiz-Irastorza

Previous versions of this chapter are available. To view earlier versions of this chapter view the full site here.

Rheumatic diseases occur mostly in women, often during their childbearing years. Most women with rheumatic disease wish to have children, even when functional disability is present. Better therapy and better prognosis for many of the rheumatic diseases has resulted in more patients considering pregnancy. The interaction of pregnancy and rheumatic diseases is varied, ranging from spontaneous improvement to aggravation, sometimes severe, of disease symptoms. Likewise, rheumatic diseases differ with regard to the occurrence of complications during pregnancy, and pregnancy outcome. This chapter describes fertility, the course of maternal disease during pregnancy, and fetal outcome.

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