Development of a care protocol in pregnancy and chronic inflammatory arthritis, in a multidisciplinary work group.

Arthritis Artritis Biologico Breastfeeding Corticosteroids DMARDs, Biologics Embarazo Enfermedades reumatológicas FAME Glucocorticoides Lactancia Pregnancy Prescribing Prescripción Rheumatic disease

Journal

Reumatologia clinica
ISSN: 2173-5743
Titre abrégé: Reumatol Clin (Engl Ed)
Pays: Spain
ID NLM: 101717526

Informations de publication

Date de publication:
24 Jun 2024
Historique:
received: 07 09 2023
accepted: 21 03 2024
medline: 26 6 2024
pubmed: 26 6 2024
entrez: 25 6 2024
Statut: aheadofprint

Résumé

To design a care protocol in Chronic Inflammatory Arthritis during the pre-conceptional period, pregnancy, postpartum and lactation. This protocol aims to be practical and applicable in consultations where patients with chronic inflammatory rheumatological diseases are treated, thus helping to better control these patients. Likewise, recommendations are offered on when patients could be consulted/referred to a specialized center by the physician. A multidisciplinary panel of expert physicians from different specialties identified the key points, analyzed the scientific evidence, and met to develop the care protocol. The recommendations prepared have been divided into three blocks: rheumatology, gynecology and pediatrics. The first block has been divided into pre-pregnancy, pregnancy and postpartum visits. This protocol tries to homogenize the follow-up of the patients from the moment of the gestational desire until the year of life of the infants. It is important to perform tests in patients of childbearing age and use drugs compatible with pregnancy. If appropriate, the patient should be referred to specialized units. Multidisciplinarity (rheumatology, gynecology and pediatrics) is essential to improve the control and monitoring of these patients and their offspring.

Identifiants

pubmed: 38918163
pii: S2173-5743(24)00076-5
doi: 10.1016/j.reumae.2024.03.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

Auteurs

Andrea Pluma (A)

Rheumatology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.

Laia Alsina (L)

Pediatric Allergy and Clinical Immunology Department, Clinical Immunology and Primary Immunodeficiencies Unit, Hospital Sant Joan de Déu, Barcelona, Spain; Study Group for Immune Dysfunction Diseases in Children, Institut de Recerca Sant Joan de Déu, Barcelona, Spain; Department of Surgery and Surgical Specializations, Facultat de Medicina i Ciències de la Salut, University of Barcelona, Barcelona, Spain.

Estefanía Moreno (E)

Rheumatology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.

Rafael Touriño (R)

Rheumatology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.

Manel Casellas (M)

High Risk Obstetric Unit, Gynecology and Obstetrics Department, Vall de Hebron Hospital Campus, Universitat Autónoma of Barcelona (UAB), Barcelona, Spain.

Dolors Grados (D)

Rheumatology Department, Hospital Universitari d'Igualada, Consorci Sanitari Anoia, Barcelona, Spain. Electronic address: mgrados@csa.cat.

Classifications MeSH