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    Management of pregnancy in women with rheumatoid arthritis

    238034_238034.pdf (86.32Kb)
    Access Status
    Open access
    Authors
    Ngian, G.
    Briggs, Andrew
    Ackerman, I.
    Van Doornum, S.
    Date
    2016
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Ngian, G. and Briggs, A. and Ackerman, I. and Van Doornum, S. 2016. Management of pregnancy in women with rheumatoid arthritis. Medical Journal of Australia. 204 (2): pp. 62-63.e1. © Copyright 2016. The Medical Journal of Australia - reproduced with permission.
    Source Title
    Medical Journal of Australia
    DOI
    10.5694/mja15.00365
    ISSN
    0025-729X
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/5716
    Collection
    • Curtin Research Publications
    Abstract

    Rheumatoid arthritis (RA) disease activity may improve during pregnancy but postpartum flares are common. Patients taking disease-modifying antirheumatic drugs should be counselled about effective contraception. Knowledge about drug safety in pregnancy is limited but the Therapeutic Goods Administration categories and online resources are a guide to the data currently available. Begin prepregnancy counselling as early as possible to allow for cessation of teratogenic medications and optimisation of RA disease control. For unplanned pregnancies, cease teratogenic medications immediately and refer to a genetic counsellor and maternal–fetal medicine specialist for risk assessment and advice.

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