怀孕期间与类风湿性关节炎相关的并发症及其对后代的影响:综合性综述
S Rohini1, Uday Raj Sharma2, M Vinutha1
1Department of Pharmacology, Acharya & BM Reddy College of Pharmacy, Acharya Dr. Sarvepalli Radhakrishna Road, Achit Nagar (Post), Soldevanahalli, Bengaluru, 560090, India.
Inflammopharmacology
|May 1, 2024
概括
患有类风湿性关节炎的孕妇面临着早产和产前的风险增加. 谨慎的疾病管理和团队方法对于改善母亲和婴儿的结果至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 产科 产科 产科 产科 产科
- 新生儿科学 新生儿科学
背景情况:
- 风湿性关节炎 (RA) 在怀孕期间带来了独特的挑战.
- 与RA相关的孕产妇和胎儿风险需要仔细考虑.
- 现有文献强调需要全面了解怀孕期间的RA.
研究的目的:
- 在怀孕期间探索类风湿性关节炎的复杂性.
- 调查孕产妇和胎儿的风险,包括不良妊娠结果.
- 检查RA对后代发育和新生儿后果的影响.
主要方法:
- 使用PubMed,谷歌学者和科学直接进行了广泛的文献审查.
- 包括具有足够关于RA和怀孕数据的同行评审研究.
- 排除缺乏足够数据或同行评审的研究.
主要成果:
- 怀孕的RA患者有更高的早产和孕前的可能性,与疾病活动有关.
- 低出生体重和其他不良的胎儿/新生儿结局与怀孕期间的RA有关.
- 将疾病修饰剂与安全性的平衡以及考虑药物风险至关重要.
结论:
- 怀孕期间的风湿性关节炎需要个性化,多学科的方法.
- 风湿病学家和产科医生之间的合作对于最佳的患者护理至关重要.
- 本综述为临床实践和未来关于RA和怀孕的研究提供了洞察力.
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