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Unlike other autoimmune diseases, rheumatoid arthritis does not affect a person's ability to get pregnant or give birth. Even the clinical symptoms of rheumatoid arthritis during pregnancy improved markedly and only recurred in three months postpartum. However, to ensure health, pregnant women with rheumatoid arthritis need to be equipped with the necessary knowledge to control their pregnancy well.
1. Medicines for Rheumatoid Arthritis and Pregnancy
Pregnant women with rheumatoid arthritis should discuss with their obstetricians and rheumatologists the option of continuing or discontinuing the drug before becoming pregnant, depending on disease activity.
Pregnant women with rheumatoid arthritis should not use certain drugs that are harmful to the fetus such as methotrexate and leflunomide. These drugs need to be discontinued for some time before deciding to become pregnant. The remaining drugs such as azathioprine, hydroxychloroquine, prednisone and sulfasalazine should be discussed for their safety. New biologics such as adalimumab, etanercept, and infliximab should also be considered.
Some pregnant women with rheumatoid arthritis wish to discontinue all medications, but this can increase the risk of exacerbations of the disease. Pregnant women with rheumatoid arthritis need to be informed about the possibility that their symptoms will improve during pregnancy. Doctors don't know exactly why rheumatoid arthritis is less active during pregnancy, but it's common. Low back pain or swelling in the legs can be normal signs of pregnancy and shouldn't be immediately thought of as a more serious condition.
Một số thuốc điều trị viêm khớp dạng thấp nên được ngừng sử dụng trước khi mang thai
2. Misconceptions about rheumatoid arthritis during pregnancy
Bonnie Soos is a 32-year-old Indian teacher who was diagnosed with rheumatoid arthritis at the age of 21. For the last two years, she has been trying to get pregnant by stopping methotrexate for at least 3 months. Soon, symptoms appear more severe than indicative of an exacerbation. Bonnie Soos can't even dress herself or raise her arms. Waking up from bed every morning is an obsession. After consulting with a specialist, the patient was prescribed prednisone for a period of time and recently switched to another drug that is safe for pregnancy. This helps the patient feel more comfortable.
Unfortunately, cases similar to the above are quite common in clinical practice. That's what women with rheumatoid arthritis often do when trying to get pregnant. Some women are willing to wait to get pregnant once their rheumatoid arthritis is well controlled, which is thought to be a smart choice. Many treatments for rheumatoid arthritis are not compatible with pregnancy, so good control of rheumatoid arthritis should be a priority. Women with rheumatoid arthritis do not lose their ability to become pregnant, but need treatment and monitoring before and after pregnancy.
3. Methods to manage rheumatoid arthritis exacerbations during pregnancy
Pregnant women with rheumatoid arthritis will be monitored to detect and treat exacerbations of the disease with drugs that are safe for pregnancy. Prednisone is safe for pregnant women but carries a risk of raising the mother's blood sugar and blood pressure. Hypertension in pregnancy is a risk factor for preeclampsia, one of the life-threatening obstetric complications. High blood glucose levels can lead to gestational diabetes. Steroids also increase the risk of osteoporosis.
Pregnant women with rheumatoid arthritis need to be monitored and consulted by an obstetrician and a doctor specializing in rheumatology to control the pregnancy well. When obstetricians are uncertain about the signs of an exacerbation, they should discuss it with a rheumatologist.
Epidural anesthesia during cesarean section can be difficult for rheumatoid arthritis patients with spinal cord injuries. Therefore, patients should be consulted by anesthesiologists about cases where general anesthesia should be used instead.
In summary, women with rheumatoid arthritis can have a healthy pregnancy like other healthy women, but to ensure safety during pregnancy, pregnant women should choose reputable medical facilities. credit to visit and give birth.
Bệnh nhân được cân nhắc gây mê toàn thân để thuận lợi cho sinh nở
Vinmec International General Hospital is a modern medical facility with the function of examining and treating musculoskeletal, immuno-allergic, and obstetric diseases. At Vinmec, there are all necessary medical equipment to perform simple to complex treatment methods such as medical treatment, medical intervention. Accordingly, the entire examination and treatment process at Vinmec is carried out by a team of highly qualified medical professionals who have undergone training and are granted technical certificates, able to handle quickly and effectively. , especially in cases of urgent need. Therefore, patients with musculoskeletal diseases or pregnant women with rheumatoid arthritis or many other diseases can rest assured with a strict, methodical and effective treatment process at the clinic. Vinmec.
Especially, now to improve service quality, Vinmec continues to deploy a package maternity service, this service was born as a solution to help pregnant women feel secure because of the companionship of the team. doctors throughout pregnancy from care, monitoring, comprehensive examination, ultrasound testing and health advice for pregnant women on how to develop a healthy fetus.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
Reference source: webmd.comMORE:
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