08-26-2006, 07:51 PM
I'm a relative newbie here. I have UCTD, with anti-Sm and low titers of a couple of other lupus things (can't remember all the acronyms now), plus this last blood test showed Rheumatoid factor 3 and a Sjogren's antibody. My dr. doesn't know what to do with me, but my symptoms are pretty well controlled by Plaquenil and I have no signs of organ involvement.
I have a 3 year old and we want to have another baby within the next 3-5 years. I am 32 and wondering if the lupus-related risks of pregnancy increase with age like the "normal" risks do. Since I'll be approaching 35 in a few more years, I'm trying to determine whether I should consider that to be a major factor in the timing.
Anyone have any info to share?
08-27-2006, 10:02 AM
All Lupus pregnancies are considered "High Risk" pregnancies based upon the things that doctor's must be aware of,take into consideration, requires extra vigilance and extra care, from specialists in maternal fetal medicine. Most women with lupus are no longer cautioned to avoid pregnancy. Although lupus pregnancies are still considered high risk, many women carry their babies safely to the end of their pregnancy. Some women may experience a flare of symptoms during or after their pregnancy. According to NIAMS, pregnancy counseling and planning before pregnancy is important. A woman with lupus who becomes pregnant also needs to work closely with both her obstetrician and her lupus doctor. As a team, they can work together to evaluate individual needs and circumstances. Women with systemic lupus erythematosus and rheumatoid arthritis do experience more pregnancy complications and longer hospitalizations than women in the general obstetric population.
Almost everything that I've read has stated that women in their 30s and 40s who are considering pregnancy are well served if they realize that any major medical conditions they have, inculding lupus, increases their risk for normal pregnancy and delivery. These conditions place women at risk for poor placental function, and so they should contact a maternal fetal medicine physician for appropriate monitoring during their pregnancy. Also, it is important to understand that full disclosure is critical for all pregnant women, over 30, who want the best the healthcare system can provide. Since older women often have more health problems than younger ones, confiding the details of one’s full health status portfolio can make the difference between a happy ending and one that is otherwise.
Peace and Blessings