Wifehas lupus, any concerns if/when she gets pregnant?

Real concerns. This is always an important issue. Women with lupus do have a higher incidence of complications in pregnancy including miscarriages, low birth weight of baby, stillborn and the possibility of lupus flaing in your wife during or after pregnancy. However, many women have successful pregnancies, with the patient's kidneys being stable at conception your wife needs a rheumatologist and high risk ob.