[Obstetrics complications of systemic lupus erythematosus and antiphospholipid syndrome: A multidisciplinary management].

Complications obstétricales du lupus érythémateux systémique et du SAPL : une prise en charge multidisciplinaire.
APS Aspirin Aspirine Harmful effects Héparine de bas poids moléculaire Iatrogénie Low molecular weight heparin Lupus érythémateux systémique Multidisciplinary meeting Réunion de concertation pluridisciplinaire SAPL Systemic lupus erythematosus

Journal

Gynecologie, obstetrique, fertilite & senologie
ISSN: 2468-7189
Titre abrégé: Gynecol Obstet Fertil Senol
Pays: France
ID NLM: 101693805

Informations de publication

Date de publication:
05 2020
Historique:
received: 19 05 2019
pubmed: 12 3 2020
medline: 31 5 2022
entrez: 12 3 2020
Statut: ppublish

Résumé

The main autoimmune diseases responsible for obstetric complications are systemic lupus erythematosus and antiphospholipid syndrome. They are particularly associated with an increased risk of miscarriage, stillbirth, intrauterine growth restriction, prematurity and pre-eclampsia. Therapeutics to prevent its complications are mainly low dose aspirin and low molecular weight heparins. However, the introduction of these therapies will have to consider the benefit/risk ratio to manage pregnancy and especially delivery. Consistency of care provided by autoimmunity specialists and gynaecologist-obstetricians is extremely important and must be promoted through regular exchanges, fuelled by a mutual culture, through multidisciplinary consultation meetings.

Identifiants

pubmed: 32156669
pii: S2468-7189(20)30096-9
doi: 10.1016/j.gofs.2020.03.005
pii:
doi:

Substances chimiques

Heparin, Low-Molecular-Weight 0

Types de publication

Journal Article

Langues

fre

Sous-ensembles de citation

IM

Pagination

448-452

Informations de copyright

Copyright © 2020 Elsevier Masson SAS. All rights reserved.

Auteurs

A Mattuizzi (A)

Service de gynécologie-obstétrique, CHU de Bordeaux, place Amélie-abat-Léon, 33076 Bordeaux, France. Electronic address: mtz.aurelien@icloud.com.

H Madar (H)

Service de gynécologie-obstétrique, CHU de Bordeaux, place Amélie-abat-Léon, 33076 Bordeaux, France.

A Froeliger (A)

Service de gynécologie-obstétrique, CHU de Bordeaux, place Amélie-abat-Léon, 33076 Bordeaux, France.

C Houssin (C)

Service de gynécologie-obstétrique, CHU de Bordeaux, place Amélie-abat-Léon, 33076 Bordeaux, France.

P Chabanier (P)

Service de gynécologie-obstétrique, CHU de Bordeaux, place Amélie-abat-Léon, 33076 Bordeaux, France.

B Merlot (B)

Service de gynécologie-obstétrique, CHU de Bordeaux, place Amélie-abat-Léon, 33076 Bordeaux, France.

E Lazaro (E)

Service de médecine interne, CHU de Bordeaux, place Amélie-abat-Léon, 33076 Bordeaux, France.

B Elleboode (B)

ELSAN, 58bis, rue La-oétie, 75008 Paris, France.

L Sentilhes (L)

Service de gynécologie-obstétrique, CHU de Bordeaux, place Amélie-abat-Léon, 33076 Bordeaux, France.

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Classifications MeSH