Adverse Pregnancy Outcomes after Multi-Professional Follow-Up of Women with Systemic Lupus Erythematosus: An Observational Study from a Single Centre in Sweden.

Lupus nephritis SLE adverse pregnancy outcomes antiphospholipid syndrome conception maternal and foetal complications pregnancy risk factors

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
11 Aug 2020
Historique:
received: 07 06 2020
revised: 21 07 2020
accepted: 07 08 2020
entrez: 16 8 2020
pubmed: 17 8 2020
medline: 17 8 2020
Statut: epublish

Résumé

While the management of pregnant patients with systemic lupus erythematosus (SLE) has improved over the last decades, the risk of maternal, foetal, and neonatal complications is still substantial. We evaluated the occurrence of adverse pregnancy outcomes (APO) occurring in 2002-2018 among patients with SLE from the catchment area of the Department of Rheumatology in Lund, Sweden. Longitudinal clinical and laboratory data were collected and analysed. Results were stratified according to the sequence of conception. We investigated a total of 59 pregnancies in 28 patients. Prior lupus nephritis was the clinical feature that, in a multivariable regression analysis, displayed the strongest association with APO overall (OR 6.0,

Identifiants

pubmed: 32796552
pii: jcm9082598
doi: 10.3390/jcm9082598
pmc: PMC7464390
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : the Swedish Rheumatism Association
ID : R-844801
Organisme : the Region Östergötland (ALF grants)
ID : LIO-791961
Organisme : the King Gustaf V's 80-year Anniversary Foundation
ID : FAI-2018-0504
Organisme : the King Gustaf V and Queen Victoria's Freemasons Foundation
ID : 2018-2020

Références

Lupus. 2014 Oct;23(12):1229-31
pubmed: 25228712
Rheumatology (Oxford). 2002 Jun;41(6):643-50
pubmed: 12048290
Fertil Steril. 2003 Mar;79(3):577-84
pubmed: 12620443
PLoS Med. 2011 Mar;8(3):e1001013
pubmed: 21445332
J Rheumatol. 2002 Feb;29(2):288-91
pubmed: 11838846
J Rheumatol. 2011 Sep;38(9):1906-13
pubmed: 21632681
Ann Rheum Dis. 2017 Mar;76(3):476-485
pubmed: 27457513
Ann Rheum Dis. 2018 Jun;77(6):855-860
pubmed: 29463519
Semin Perinatol. 2002 Aug;26(4):286-95
pubmed: 12211619
J Matern Fetal Med. 2001 Apr;10(2):91-6
pubmed: 11392599
Clin Rev Allergy Immunol. 2010 Apr;38(2-3):302-6
pubmed: 19603147
Am J Obstet Gynecol. 2008 Aug;199(2):127.e1-6
pubmed: 18456233
Clin Rev Allergy Immunol. 2017 Dec;53(3):469-476
pubmed: 29116459
J Exp Med. 2002 Jan 21;195(2):211-20
pubmed: 11805148
Best Pract Res Clin Rheumatol. 2013 Jun;27(3):435-47
pubmed: 24238698
J Thromb Haemost. 2006 Feb;4(2):295-306
pubmed: 16420554
PLoS One. 2014 Aug 13;9(8):e104375
pubmed: 25118692
Br J Rheumatol. 1996 Feb;35(2):133-8
pubmed: 8612024
Hypertension. 2015 Jul;66(1):117-25
pubmed: 25941343
J Obstet Gynaecol Can. 2013 Apr;35(4):323-328
pubmed: 23660039
J Reprod Immunol. 2009 Jan;79(2):188-95
pubmed: 19211151
Arthritis Res Ther. 2020 Mar 19;22(1):52
pubmed: 32188491
Rheumatology (Oxford). 2012 Dec;51(12):2186-90
pubmed: 22923750
J Rheumatol. 1993 Apr;20(4):650-6
pubmed: 8496859
Lupus. 2009 Apr;18(4):342-7
pubmed: 19276302
J Rheumatol. 2003 Oct;30(10):2127-32
pubmed: 14528505
J Clin Invest. 2003 Dec;112(11):1644-54
pubmed: 14660741
Lupus. 2011 Jul;20(8):829-36
pubmed: 21543513
Lupus. 2016 Jun;25(7):772-80
pubmed: 26923282
J Rheumatol. 2010 Apr;37(4):754-8
pubmed: 20231194
Arthritis Rheum. 2012 Aug;64(8):2677-86
pubmed: 22553077
Ann Intern Med. 2015 Aug 4;163(3):153-63
pubmed: 26098843
Eur J Obstet Gynecol Reprod Biol. 2013 Sep;170(1):1-7
pubmed: 23746796
Clin J Am Soc Nephrol. 2010 Nov;5(11):2060-8
pubmed: 20688887
Rheum Dis Clin North Am. 2007 May;33(2):237-52, v
pubmed: 17499705
Arthritis Rheum. 2005 Feb;52(2):514-21
pubmed: 15692988
Clin Rheumatol. 2012 May;31(5):813-9
pubmed: 22278163
Arthritis Care Res (Hoboken). 2016 Jul;68(7):988-94
pubmed: 27338103
J Rheumatol. 2005 Sep;32(9):1709-12
pubmed: 16142865
Arthritis Rheum. 1996 Mar;39(3):363-9
pubmed: 8607884
Arthritis Res Ther. 2007;9(6):R124
pubmed: 18042277
Arthritis Rheum. 1997 Sep;40(9):1725
pubmed: 9324032
Lupus. 2015 Aug;24(9):980-4
pubmed: 25697769
Lupus. 2012 Jun;21(7):776-8
pubmed: 22635230
Ann Rheum Dis. 2018 Apr;77(4):549-555
pubmed: 29371202
Hypertension. 2012 Sep;60(3):712-21
pubmed: 22868393
Immunol Res. 2014 Dec;60(2-3):170-6
pubmed: 25398639
Am J Obstet Gynecol. 2005 Jun;192(6):1897-904
pubmed: 15970846
Lupus. 2020 Feb;29(2):176-181
pubmed: 31924143
Rheum Dis Clin North Am. 2017 May;43(2):215-226
pubmed: 28390564
Rheumatology (Oxford). 2000 Sep;39(9):1014-9
pubmed: 10986308
Control Clin Trials. 2000 Dec;21(6):527-39
pubmed: 11146147
Hypertension. 2012 Nov;60(5):1332-7
pubmed: 23006730
PLoS One. 2017 Apr 25;12(4):e0176457
pubmed: 28441446
N Engl J Med. 1988 Jul 28;319(4):189-94
pubmed: 3393170

Auteurs

Muna Saleh (M)

Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection, Linköping University, SE-581 85 Linköping, Sweden.

Christopher Sjöwall (C)

Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection, Linköping University, SE-581 85 Linköping, Sweden.

Helena Strevens (H)

Department of Clinical Sciences Lund, Department of Obstetrics and Gynaecology, Lund University, SE-222 42 Lund, Sweden.

Andreas Jönsen (A)

Department of Clinical Sciences Lund, Rheumatology, Lund University, SE-222 42 Lund, Sweden.

Anders A Bengtsson (AA)

Department of Clinical Sciences Lund, Rheumatology, Lund University, SE-222 42 Lund, Sweden.

Michele Compagno (M)

Department of Clinical Sciences Lund, Rheumatology, Lund University, SE-222 42 Lund, Sweden.

Classifications MeSH