Smiling at Life: The Challenge of Being a Mother with Rheumatic Disease
Many women with rheumatic diseases have normal pregnancies. However, it is difficult to predict in advance what effects the physical changes during pregnancy will have on rheumatic diseases in individual cases, and vice versa. These effects also depends on the specific clinical condition. About two out of three women with rheumatoid arthritis have fewer symptoms during pregnancy than before
Source: https://www.webmd.com/rheumatoid-arthritis/family-planning-and-rheumatoid-arthritis
– regardless of the duration and severity of the illness. However, there are cases where joint swelling and pain may not resolve in the first trimester of pregnancy.
Under favorable events, joint function can improve so much that fewer or no medications are needed until birth. However, other women may require drug therapy throughout pregnancy, which should be discussed with a rheumatologist.
Managing Rheumatoid Symptoms During Pregnancy: What to Expect and How to Get Support
The symptoms change little during pregnancy. In a third of pregnant women, back pain and pain at the attachment points of ligaments and tendons, such as in the chest and pelvic area, increase, especially in the middle of pregnancy. Inflammation, such as in the hands or knees, often decreases during pregnancy.
In the case of currently inactive lupus disease and without severe organ involvement, therapy often does not need to be changed. During pregnancy, in addition to normal prenatal care, regular lupus activity checks are advisable.
If you are a rheumatoid patient, seeking close support and advice from a rheumatologist throughout your pregnancy is best. Complaints such as fatigue, back pain, swollen joints, or numbness in the hands, which even healthy women experience during pregnancy, can then be better classified.
Want to get Pregnant, let’s PLAN
If you want to have children, it is a good idea to plan pregnancy during a calm phase of the illness and to discuss this with the treating rheumatologist and the gynecologist at an early stage. It can also be clarified whether the current therapy is absolutely necessary in its current form or can be adapted for pregnancy. Concomitant illnesses such as high blood pressure, diabetes or thyroid disease should be well-controlled before pregnancy.
Rheumatoid Medication During Pregnancy
There are a number of rheumatoid medications that, according to available data and experience, should under no circumstances be taken during pregnancy. They should be stopped well before pregnancy. Others may only be taken up to a certain point in time, some only specifically when an illness flares up and as prescribed by your doctor.
It is important that you seek specialist advice to clarify in your specific case which medication you can take and in what dosage during pregnancy and breastfeeding without harming yourself or your child.
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