title: [The pre-pregnancy counseling].
abstract: Pre-pregnancy counseling is one of the keys of success of pregnancy in women with autoimmune or systemic diseases, especially lupus or antiphospholipid syndrome. This type of consultation should be offered to all women with systemic diseases, giving the possibility to allow a pregnancy or to explain why this project should be delayed, to anticipate some problems, to give comprehensive informations to the couple, to organize the multidisciplinary monitoring, to adapt treatments, and finally, to verify the validity of some vaccinations. The generalization of pre-pregnancy counseling should allow to minimize risks for both mother and fetus, then, to improve the prognosis of these high risk pregnancies.
authors.affiliation: Centre de référence maladies auto-immunes et systémiques rares, service de médecine interne, pôle médecine, hôpital Cochin, université René-Descartes Paris V, AP-HP, 27, rue du Faubourg-Saint-Jacques, 75679 Paris cedex 14, France. Electronic address: veronique.le-guern@cch.aphp.fr.
authors.forename: V
authors.initials: V
authors.lastname: Le Guern
authors.affiliation: Service de médecine interne, CHU de Clermont-Ferrand, hôpital Gabriel-Montpied, université de Clermont-Ferrand, 58, rue Montalembert, 63003 Clermont-Ferrand cedex1, France.
authors.forename: G
authors.initials: G
authors.lastname: Guettrot-Imbert
authors.affiliation: Centre de référence maladies auto-immunes et systémiques rares, service de médecine interne, pôle médecine, hôpital Cochin, université René-Descartes Paris V, AP-HP, 27, rue du Faubourg-Saint-Jacques, 75679 Paris cedex 14, France.
authors.forename: N
authors.initials: N
authors.lastname: Costedoat-Chalumeau
mesh_terms: D001327:Autoimmune Diseases / Q000628:therapy*; D003376:Counseling; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D012307:Risk Factors
keywords: Autoimmune diseases; Consultation préconceptionnelle; Grossesse; Maladies auto-immunes; Pre-pregnancy counseling; Pregnancy