Women with an uncomplicated pregnancy are usually offered screening for: Gestational diabetes. Down's syndrome. To develop standards and recommendations for women's health issues and family planning in systemic lupus erythematosus (SLE) and/or antiphospholipid syndrome (APS). Fatigue 2. Epub 2010 Aug 5. NICE has accredited the process used by the BSR to produce its guidance on the management of systemic lupus erythematosus in adults. Patients with lupus are at increased risk of co-morbidities, such as atherosclerotic disease, osteoporosis, avascular necrosis, malignancy and infection (2+/C). Objectives Develop recommendations for women's health issues and family planning in systemic lupus erythematosus (SLE) and/or antiphospholipid syndrome (APS). A systematic review and meta-analysis of pregnancy outcomes in patients with systemic lupus erythematosus and lupus nephritis Published by American Society of … Published by Arthritis care & research, 12 November 2018. determine if SLE offspring exposed in utero to antimalarials have an increased risk of ocular anomalies during childhood versus... Connective Tissue Diseases in Pregnancy prevention and control. Methods Systematic review of evidence followed by modified Delphi method to compile questions, elicit expert opinions and reach consensus. EULAR recommendations for women’s health and the management of family planning, assisted reproduction, pregnancy, and menopause in patients with systemic lupus erythematosus and/or the antiphospholipid syndrome. Showing results 1 to 10. It is strongly recommended that you meet with your doctor three to six months in advance of when you plan to try to become pregnant. New guidelines issued at the 2015 annual meeting of the European League Against Rheumatism (EULAR) outline ways to reduce those risks in the context of disease activity and the impact of medications. Published by American Society of Nephrology, 01 November 2010. Predisposing factors include genetic factors (certain types of human leukocyte antigens and null complement alleles), environmental factors including sun exposure, some drugs such as sulfa antibiotics, and hormonal factors. Disease activity, serological markers, and renal function should be closely monitored to guard against adverse pregnancy outcomes (such as preeclampsia and preterm birth) as well as disease flares. Critical assessment of evidence to help you make decisions. This content is provided by the Office on Women’s Health. Hematologic abnormalities In general, pregnancy does not cause flares of SLE. NICE: Vitamin D supplement use in specific population groups [PH56], 2017 NICE: Diabetes in Pregnancy: Management from Pre -conception to the Post partum Period [NG3], 2015. Summary. Two ultrasound scans are usually offered during the course of an uncomplicated pregnancy: A dating scan (10–13 weeks). Results Family planning should be discussed as early as possible after diagnosis. EULAR recommendations for women's health and the management of family planning, assisted reproduction. Published guidance on this topic (1) New guidance in the last 6 months (2) Updated guidance in the last 6 months (0) In development guidance (2) NICE advice. It does not make sense to taper medication simply because a woman desires pregnancy, because of the likelihood of inducing a flare if medications are reduced too low. Chronic hypertension can mimic gestational hypertension and strongly predisposes to superimposed pre-eclampsia. Published by European League Against Rheumatism (EULAR), 17 February 2017. Risk of Ocular Anomalies in Children Exposed in Utero to Antimalarials: A Systematic Literature Review. Accreditation is valid for 5 years from 10 June 2013. 2010 Nov;5(11):2060-8. OBJECTIVES The impact of systemic lupus erythematosus (SLE) on preeclampsia is still obscure. The risk of thrombosis in a patient with antiphospholipid-antibody-positive testing but no prior thrombotic episodes or other risk factors (e.g., autoimmune disease) is 1% per year. Click export CSV or RIS to download the entire page or use the checkbox in each result to select a subset of records to download. Fever 3. 40 GPLorMPL, All rights reserved. The EULAR recommendations for women’s health and pregnancy include ways to deal with reduced fertility in SLE, use of birth control, assisted reproductive technology, and hormone therapy during menopause. In fact, they suggest, for some women with lupus an uncomplicated pregnancy may be a positive sign of later cardiovascular health. 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