Systemic lupus erythematosus and pregnancy: how to act correctly
Lupus does not reduce a woman's chances of getting pregnant.Less than 50% of pregnancies in women with lupus have complications, but in lupus pregnancy have a high degree of risk.Lupus can complicate pregnancy, increasing the risk of miscarriage, premature birth and late toxicosis pregnant women and can cause problems with a child's heart.If you're going to get pregnant and lupus, consider these tips to secure a safe pregnancy and a healthy baby.
Before you become pregnant:
- Assemble your team of doctors
Before becoming pregnant, women with lupus should see a rheumatologist, a doctor who specializes in diseases such as lupus, Perinatologyor an obstetrician who specializes in high-risk cases, as well as pediatric cardiologist.
Earlier counseling allows women suffering from lupus to discuss their state of health with your doctor to determine the potential risk of lupus.Not all women are the same, so it's important to know exactly what it means to your disease to your pregnancy.
Some pregnancy may require early treatment.This will help prevent the risk of complications, and such treatment should begin within the first few weeks of pregnancy for best results.The risk of complications increases if you have worsening lupus, so it is important to contact your doctor.
- Identify at risk of complications during pregnancy
every case of the disease lupus is different.This disease does not increase the risk of miscarriage in the first trimester.But women with this disease are at risk of miscarriages at a later date and even the risk of stillbirth due to the effects of antiphospholipid antibodies and anticardiolipin antibodies - "soldiers' immunity .About 33% of women with lupus have these antibodies, which increase the risk of blood clots.Your doctor may advise you to pass a special blood test blood test: the mirror of health , to check the presence of such antibodies.
Placental blood clots could endanger your child's nutrition and oxygen supply, as well as slow down its development.If you have an increased risk of blood clots, your doctor may prescribe blood thinners such as aspirin slabodozirovanny Aspirin - a non-steroidal anti-inflammatory drug or heparin.You will also need to be tested for the presence of antibodies, which are an increased risk of congenital heart block in children.
affected lupus kidney or lungs increases the chance of complications during pregnancy.Pregnancy tends to increase the load on the damaged organs.This can cause irreparable and irreversible harm to the kidneys.
- Change your medications for the treatment of lupus to protect pregnancy
Your doctor can help you plan the treatment, safe for your baby.Gidroksihlorin and prednisone are considered safe for pregnancy.Methotrexate and cyclophosphamide can not be used during pregnancy and should be canceled at least one month prior to a possible pregnancy.Ask your doctor to weigh the pros and cons of your medications.
* Plan your pregnancy.Planning a pregnancy is not always easy.But you have to decide on pregnancy only after a thorough medical examination.You also have to plan pregnancy during remission or reduction of disease activity.You will have a lot less complications if your disease is not active.
If you are already pregnant:
- Visit your doctor often
Frequent visits to the doctor can help detect diseases, to monitor the development of the child and bring you peace.About 25% of lupus pregnancies may end premature birth.A 20-30% of female patients will have late toxicosis of pregnancy.This sudden increase in pressure and the presence of protein in the urine protein in the urine - a sign of danger, which should not be underestimated , which leads to internal swelling of the tissues of the body.Late toxemia (preeclampsia) often requires emergency treatment, and can be cured only after the birth of a child, so you need to frequently visit their doctor.Your doctor may also monitor the growth of a child with a sonogram or ultrasound, are harmless to you and your child.
- Follow the aggravation of the disease
Recent studies show that the worsening of lupus during pregnancy are extremely rare.In fact, many women have improved their status during pregnancy.If you become pregnant after six months of remission, you're unlikely to experience a worsening of the disease, than if pregnant during an active period of the disease.Symptoms of acute illness may be the same as during pregnancy, so it is important to determine, together with the doctor started you have exacerbation or is it just the usual signs of pregnancy.Both are marked by swelling of the joints and accumulation of fluid, a rash on the face and the changes of the hair.
- Try to reduce fatigue
Pregnancy can be a difficult process for the woman's body, and lupus may add problems during pregnancy.Good holiday in this period is very important for you.Women with lupus do not have to dial an extra unnecessary weight during pregnancy, and must adhere to a healthy and balanced diet.Be prepared to make changes in your activities and daily life, if you feel tired, or you will have something to hurt.
- Prepare for the possibility of premature birth
About 50% of pregnancies in women with lupus, end premature birth due to complications arising from the disease under the influence.Select a hospital that specializes in caring for young children and offering neonatal intensive care, by any chance your baby will be born prematurely or will have health problems.Although prematurity pose a risk to infants, most of the problems can be successfully overcome in the hospital, which specializes in the care of newborns.