RHEUMATOID ARTHRITIS AND PREGNANCY
Rheumatoid arthritis (RA) generally starts at the age when many women have already become mothers; however, it may occur in childhood or adolescence. Furthermore, there has been recently a women’s tendency to plan pregnacy for a more mature age, which necessitates a discussion about gestation in thi...
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Format: | Article |
Language: | Russian |
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IMA PRESS LLC
2014-12-01
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Series: | Научно-практическая ревматология |
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Online Access: | https://rsp.mediar-press.net/rsp/article/view/2003 |
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author | N. M. Kosheleva E. V. Matyanova |
author_facet | N. M. Kosheleva E. V. Matyanova |
author_sort | N. M. Kosheleva |
collection | DOAJ |
description | Rheumatoid arthritis (RA) generally starts at the age when many women have already become mothers; however, it may occur in childhood or adolescence. Furthermore, there has been recently a women’s tendency to plan pregnacy for a more mature age, which necessitates a discussion about gestation in this disease. Investigation of mechanisms pregnancy can influence the development of RA both in the gestation and long-term periods is of important theoretical and practical value. The results of these investigations may be used to develop new treatments for RA and management tactics for patients during pregnancy and lactation. The aper gives the data available in the literature on fertility in RA, impact of pregnancy on its activity and that of RA on the course and outcomes of gestation, as well as current ideas on lactation and use of oral contraceptives in RA. Particular attention is given to drug therapy in pregnant and breastfeeding women with RA: groups of anti-rheumatic drugs are considered in detail in relation to the safety of or a potential risk from their use. A therapeutic algorithm and recommendations for pregnancy planning and a follow-up of patients with RA during gestation are proposed. |
first_indexed | 2024-04-09T22:25:35Z |
format | Article |
id | doaj.art-c969dc2da6f54a4e8f5f04a94e7b5b81 |
institution | Directory Open Access Journal |
issn | 1995-4484 1995-4492 |
language | Russian |
last_indexed | 2024-04-09T22:25:35Z |
publishDate | 2014-12-01 |
publisher | IMA PRESS LLC |
record_format | Article |
series | Научно-практическая ревматология |
spelling | doaj.art-c969dc2da6f54a4e8f5f04a94e7b5b812023-03-22T13:45:49ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922014-12-0152658959910.14412/1995-4484-2014-589-5991922RHEUMATOID ARTHRITIS AND PREGNANCYN. M. Kosheleva0E. V. Matyanova1V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia 34A, Kashirskoe Shosse, Moscow 115522V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia 34A, Kashirskoe Shosse, Moscow 115522Rheumatoid arthritis (RA) generally starts at the age when many women have already become mothers; however, it may occur in childhood or adolescence. Furthermore, there has been recently a women’s tendency to plan pregnacy for a more mature age, which necessitates a discussion about gestation in this disease. Investigation of mechanisms pregnancy can influence the development of RA both in the gestation and long-term periods is of important theoretical and practical value. The results of these investigations may be used to develop new treatments for RA and management tactics for patients during pregnancy and lactation. The aper gives the data available in the literature on fertility in RA, impact of pregnancy on its activity and that of RA on the course and outcomes of gestation, as well as current ideas on lactation and use of oral contraceptives in RA. Particular attention is given to drug therapy in pregnant and breastfeeding women with RA: groups of anti-rheumatic drugs are considered in detail in relation to the safety of or a potential risk from their use. A therapeutic algorithm and recommendations for pregnancy planning and a follow-up of patients with RA during gestation are proposed.https://rsp.mediar-press.net/rsp/article/view/2003rheumatoid arthritispregnancyfertilitylactationdrug therapy |
spellingShingle | N. M. Kosheleva E. V. Matyanova RHEUMATOID ARTHRITIS AND PREGNANCY Научно-практическая ревматология rheumatoid arthritis pregnancy fertility lactation drug therapy |
title | RHEUMATOID ARTHRITIS AND PREGNANCY |
title_full | RHEUMATOID ARTHRITIS AND PREGNANCY |
title_fullStr | RHEUMATOID ARTHRITIS AND PREGNANCY |
title_full_unstemmed | RHEUMATOID ARTHRITIS AND PREGNANCY |
title_short | RHEUMATOID ARTHRITIS AND PREGNANCY |
title_sort | rheumatoid arthritis and pregnancy |
topic | rheumatoid arthritis pregnancy fertility lactation drug therapy |
url | https://rsp.mediar-press.net/rsp/article/view/2003 |
work_keys_str_mv | AT nmkosheleva rheumatoidarthritisandpregnancy AT evmatyanova rheumatoidarthritisandpregnancy |