Introduction:

systemic lupus erythematosus is an autoimmune disease that mainly affects women of childbearing age and has been associated with increased maternal-fetal morbidity and mortality.

Objective:

to describe the main maternal-fetal complications in pregnant women with systemic lupus erythematosus.

Methods:

a developmental, descriptive and cross-sectional research was conducted in 137 pregnant women with a diagnosis of systemic lupus erythematosus attended at the “Mariana Grajales” and “Arnaldo Milián Castro” Hospitals between January 2015 and December 2019 with a predominance of documentary analysis.

Results:

pregnant women between 20 and 24 years old, with medium-high school level, primigravidae, who attended five or more Prenatal Care Consultations and one or two Rheumatology and High Obstetric Risk Consultations during pregnancy predominated. The 94.98% were diagnosed before pregnancy and the interval of evolution was predominantly between one and four years. The main comorbidity was arterial hypertension (22.63%), followed by diabetes mellitus (18.25%). The most frequent maternal complications were preterm delivery (28.47%) and premature rupture of membranes (24.81%), while the most frequent fetal complications were prematurity (32.77%) and low birth weight (24.37%).

Conclusions:

the study showed an increase in maternal-fetal complications in pregnant women with systemic lupus erythematosus.

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