Management of the high-risk lupus pregnant patient.
Pregnancy in the lupus patient presents a unique clinical challenge. Pregnancy may interact with lupus nephritis and adds preeclampsia to the differential diagnosis of hypertension. Lupus may result in pregnancy loss, fetal growth restriction, and prematurity. The obstetric management of these complex issues is presented for the nonobstetrician.
Witter
Frank R
FR
Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, MD 21287-1228, USA. fwitter@jhmi.edu
D017152:Antibodies, Antiphospholipid / Q000097:blood; D016736:Antiphospholipid Syndrome / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D008180:Lupus Erythematosus, Systemic / Q000628:therapy*; D008181:Lupus Nephritis / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk / Q000097:blood; D047928:Premature Birth / Q000453:epidemiology; D011295:Prenatal Care; D050497:Stillbirth / Q000453:epidemiology
D017152:Antibodies, Antiphospholipid