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Lupus And Pregnancy
See below: Besides whether or not you have sjogren or antiphospholipid antibodies to be positive, you need to know or whether your lupus is active. The best pregnancy outcomes occur when your lupus has been clinically inactive for at least six months. You should also discuss preconception planning with your rheum and ob/gyn long before you get pregnant. ...Read moreSee 2 more doctor answers
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Trying to conceive due to lupus my last pregnancy my lupus flared up, is it most likely to flare up again or most like this pregnancy will be differe?
SLE and pregnancy: Hi Brenda: The prognosis for mother + child is best when SLE has been quiescent for 6 months prior to conception. There is a risk that the second pregnancy could also result in SLE flare. A multidisciplinary approach with close medical, obstetric, and neonatal monitoring is necessary. The good news is that most pregnancies in pt's SLE have good outcomes with modern care. Best of Luck! ...Read more
Is it safe to get pregnant with a hemoglobin level of 10.6? I have thalassemia and lupus and want to get pregnant.
It's a good start: For lupus, it's ideal to go without a flare for at least six months before conceiving. Before you start trying, it's worth seeing a maternal fetal medicine doctor who can look over your records and make sure you are on medicines that are ok in early pregnancy. It would also be good to test your partner to see if he's a thalassemia carrier. ...Read moreSee 1 more doctor answer
No: There is no problem with fertility in women with lupus. They can conceive as easily as any woman except in about 5%, which is the infertility rate of the general population. Any problems with fertility should be investigated in both partners by an obstetrician-gynecologist who specializes in infertility. You do need to discuss the effects of your medicines on the pregnancy. ...Read more
See experts early: Ideally a woman with sle would see her rheumatologist and a maternal-fetal medicine subspecialist before trying to conceive (ttc). Then lab tests could be ordered, records reviewed and risks discussed. Those include preeclampsia and poor fetal growth. She should ask her OB to refer her to the mfm doctor early in the pregnancy and on ongoing basis to help evaluate mom + baby and plan for delivery. ...Read moreSee 2 more doctor answers
Possibly: There is a chance that your lupus will flare during pregnancy or after delievery of your child. The best chance of not having your lupus flare during pregnancy is to into your pregnancy is to have your lupus stable. It is also important, that your kidney are stable and not active. The lack of kidney activity at pregnancy is a very good indicator for a more stable pregnancy. ...Read more
Yes: Lupus may impact fertility depending on the severity of your disease. More commonly, lupus may increase risks associated with pregnancy both for the mother and the patient. I would encourage you to see your ob/gyn for a preconception appointment to review the current state of your lupus and optimize the outcome of any planned pregnancy. ...Read moreSee 1 more doctor answer
Yes: Yes, but you need to confer with doctors first. Discoid on occasion can transition to systemic lupus so you would want to get checked. Also you would need to have medications reviewed with your doctor. Plaquenil (hydroxychloroquine) is safe in pregnancy, but if you are on medications such as methotrexate, these would have to be stopped long before any attempts at conception are made. See your doctor to talk more. ...Read more
No big deal usually.: Depending on whether you have a diagnosis of lupus or prior clotting problems, this may or may not be significant for your pregnancy. Studies show that most women with lac have normal pregnancies. Lupus anticoagulant (lac) is a laboratory finding and in and of itself not significant for predicting clinical outcomes. If you have systemic lupus erythematosus the plot thickens and you need to see mfm. ...Read more
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