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Related Experiment Videos

Systemic lupus erythematosus in pregnancy

T A Kasnic1, C L Wallerstedt, G J Gilson

  • 1Department of Obstetrics and Gynecology, University, of New Mexico Health Sciences Center, Albuquerque, USA.

The Journal of Perinatal & Neonatal Nursing
|February 6, 1998
PubMed
Summary

Systemic lupus erythematosus (SLE) in pregnancy can significantly impact perinatal outcomes. Individualized case management is crucial for the mother, fetus, and newborn, guiding clinical care and nursing interventions.

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Area of Science:

  • Obstetrics and Gynecology
  • Rheumatology
  • Neonatal Care

Background:

  • Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with potential multisystemic effects.
  • Pregnancy in women with SLE presents unique challenges for maternal and fetal well-being.
  • Effective management requires a multidisciplinary approach addressing the complexities of SLE during gestation.

Observation:

  • SLE can lead to various complications affecting the pregnant individual, including increased risk of preeclampsia, preterm birth, and intrauterine growth restriction.
  • Fetal and neonatal outcomes are influenced by maternal SLE activity, autoantibody profiles, and treatment regimens.
  • Nursing care must be tailored to the specific needs arising from SLE's impact on maternal-fetal dyads.

Findings:

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  • Profound effects on perinatal outcomes are associated with maternal SLE.
  • Numerous effects and nursing implications exist for the mother, fetus, and newborn.
  • Individualized case management is essential for optimizing outcomes.

    • Implications:

    • Clinical management and therapeutic interventions must be carefully considered for pregnant individuals with SLE.
    • Perinatal and neonatal nurses require specific knowledge and skills to manage these complex cases.
    • Early identification and proactive management strategies can improve maternal and infant health outcomes in SLE pregnancies.