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Knowledge, Attitude, and Practices of Indian Rheumatologists Regarding Reproductive Rheumatology in Female Patients:
Madhuri H Radhakrishna1, Sunitha Kayidhi2, Vinod Ravindran3,4
1Star Hospital, Telangana, India.
Mediterranean Journal of Rheumatology
|August 4, 2025
Summary
Indian rheumatologists show good knowledge of pregnancy management in rheumatic diseases but lack confidence in fertility discussions. Improving patient education and collaboration can enhance outcomes.
Area of Science:
- Rheumatology
- Reproductive Health
- Obstetrics
Background:
- Managing pregnancy in rheumatic diseases requires careful consideration of disease type, activity, and comorbidities.
- Assessing rheumatologists' knowledge, attitudes, and practices is crucial for optimizing reproductive health outcomes in these patients.
Purpose of the Study:
- To evaluate the knowledge, attitudes, and practices of Indian rheumatologists regarding the management of pregnancy and reproductive health concerns in patients with rheumatic diseases.
Main Methods:
- A cross-sectional, web-based online survey was conducted among Indian rheumatologists from October to November 2022.
- The survey collected data on knowledge, attitudes, management approaches, barriers, patient perspectives, and solutions related to reproductive health in rheumatic diseases.
Main Results:
- 122 rheumatologists participated; most were familiar with BSR 2023 and ACR 2020 guidelines.
- While 77.9% were confident managing pregnant patients, confidence was low for oocyte preservation (63%) and assisted reproductive techniques (65.9%).
- Patients expressed fears about pregnancy (92%), and 50.8% stopped medication post-confirmation; 91.7% cited poor treatment/follow-up as contributing to adverse outcomes.
Conclusions:
- Knowledge gaps exist among rheumatologists managing reproductive issues in rheumatic diseases, impacting confidence.
- Enhancing collaboration with obstetricians and improving patient education are recommended strategies.
- Addressing these gaps can improve the management of pregnancy and reproductive health in individuals with rheumatic conditions.
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