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Contraception and Pregnancy in Patients with Rheumatic Disease
Authors: Sammaritano, Lisa R.; Bermas, Bonnie L
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Publisher : Springer; Softcover reprint of the original 1st ed. 2014 edition (September 17, 2016)
Language : English
Paperback : 326 pages
ISBN-10 : 1493953338
ISBN-13 : 9781493953332
Language: English
Book Description
Rheumatic (or systemic autoimmune) diseases disproportionately affect young women: the female-to-male ratio for patients with systemic lupus erythematosus during the reproductive years is approximately 9:1. In the mid- to late-twentieth century, women with rheumatic disease diagnoses were often advised to avoid pregnancy due to fear of disease exacerbation and adverse outcome. In more recent years, many women with rheumatic disease have deferred childbearing until a later age due to active disease or unsafe therapies. However, with advances in rheumatology therapies, obstetric monitoring, and reproductive medicine technologies, increasing numbers of women with rheumatic diseases are pursuing pregnancy. As a result, obstetricians and rheumatologists need to be aware of the current state of knowledge and the recommendations for management of pregnancy in these patients. Contraception and Pregnancy in Patients with Rheumatic Disease explains the basics of contraception, fertility treatment, and pregnancy in rheumatic disease patients and serves as a guide and reference tool for both rheumatologists and OB/GYNs. Most general rheumatologists and OB/GYNs have limited experience in caring for rheumatic disease patients during pregnancy, and many do not have ready access to expert colleagues in this area. This book summarizes the current state of knowledge and presents a general approach for assessment of the rheumatic disease patient considering pregnancy, hormonal contraception or infertility treatment.
From the Back Cover
Most general rheumatologists and OB/GYNs have limited experience in caring for rheumatic disease patients during pregnancy, and many do not have ready access to expert colleagues in this area. Contraception and Pregnancy in Patients with Rheumatic Disease fills this gap by presenting the basics of contraception, fertility treatment, and pregnancy in rheumatic disease patients. This comprehensive resource begins by introducing key concepts that clinicians need to know when assessing the pregnant rheumatic disease patient. It goes on to cover specific rheumatic conditions in pregnancy, including systemic lupus erythematosus, antiphospholipid syndrome, systemic sclerosis, inflammatory myositis, and more. The book concludes by explaining additional related reproductive issues such as contraception, neonatal lupus, and long-term outcome of children of rheumatic disease patients.
With advances in rheumatology therapies, obstetric monitoring, and reproductive medicine technologies, increasing numbers of women with rheumatic diseases are pursuing pregnancy. Summarizing the current state of knowledge and presenting a general approach for assessment of the rheumatic disease, this book serves as an invaluable reference tool for both rheumatologists and OB/GYNs.
About the Author
Lisa R. Sammaritano
Weill Cornell Medical College
New York, NY
USA
Bonnie L. Bermas
Division of Rheumatology
Brigham and Women’s Hospital
Harvard Medical School
Boston, MA
USA