Resumen

LOPEZ MANTECON, Ana Marta et al. Rheumatoid arthritis and pregnancy. Rev Cuba Reumatol [online]. 2013, vol.15, n.2, pp.83-90. ISSN 1817-5996.

Rheumatoid arthritis during pregnancy is not a rare condition, considering higher prevalence of this disease in women during fertile period. The coexistence of both clinical conditions (rheumatoid arthritis and pregnancy) is always an important challenge for physicians in charge to these patients. It is accepted both that pregnancy has a protective influence for Rheumatoid arthritis development, and symptoms frequently ameliorate during the pregnancy period and only be worst after delivery. It seems that Rheumatoid arthritis does not affect fertility ratio between female patients, neither increases abortion frequency, number of fetal death, nor pre-term birth in comparison with normal population. Nevertheless, it is recommended that treatment must be personalized, because most of anti-rheumatic drugs have adverse effects, some of them related to pregnancy well established in some drugs and with not enough information and the present time, for some others. Interdisciplinary medical care of pregnancy women with Rheumatoid arthritis, including Rheumatology doctor in the treatment team are important steps in order to reduce mothers, fetus and perinatal complications. In this paper we review rheumatoid arthritis related with pregnancy.

Palabras clave : Rheumatoid arthritis pregnancy; pregnancy; fertility; pre-term birth small full-term infants.

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