Management of Rheumatic Diseases During Pregnancy and Breastfeeding

Bettina Kuschel; Ute Margaretha Schäfer-Graf; Markus Schmidt; Maritta Kühnert; Carsten Hagenbeck; Klaus Thürmel; for the AGG – Section Maternal Diseases in Pregnancy

doi:10.1055/a-2201-2680

Geburtshilfe und Frauenheilkunde, Table of Contents

CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2024; 84(02): 130-143
DOI: 10.1055/a-2201-2680

GebFra Science

Statement/Stellungnahme

Management of Rheumatic Diseases During Pregnancy and Breastfeeding

Position Paper of the Working Group for Obstetrics and Prenatal Medicine in the German Society for Gynecology and Obstetrics e. V. (AGG – Section Maternal Diseases in Pregnancy) Article in several languages: English | deutsch

Authors

Bettina Kuschel

¹Sektion Geburtshilfe und Perinatologie, Frauenklinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, München, Germany
Ute Margaretha Schäfer-Graf

²Perinatalzentrum, Klinik für Gynäkologie und Geburtshilfe, Berlin, Germany
Markus Schmidt

³Gynecology & Obstetrics, Sana Kliniken Duisburg GmbH, Duisburg, Germany
Maritta Kühnert

⁴Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Gießen und Marburg – Standort Marburg, Marburg, Germany
Carsten Hagenbeck

⁵Department of Gynecology and Obstetrics, University Hospital Düsseldorf, Heinrich Heine Universität Düsseldorf, Düsseldorf, Germany
Klaus Thürmel

⁶Abteilung für Nephrologie und Rheumatologie, Klinik Augustinum München, München, Germany

for the AGG – Section Maternal Diseases in Pregnancy

Abstract

Purpose These recommendations issued by the AGG (Section Maternal Diseases in Pregnancy) were developed as a rapid orientation on maternal rheumatic diseases for counselling and disease management in pregnancy and breastfeeding.

Methods The standard literature, consensus and position papers, guidelines and recommendations by other specialist associations were evaluated by a task force of the Section and summarized in these recommendations following a joint consensus process.

Recommendations This paper provides an orientating overview of the physiology, pathophysiology and definitions of rheumatic diseases which is relevant for gynecologists and obstetricians. The recommendations focus on the maternal, fetal and neonatal diagnostic workup in cases with underlying maternal rheumatic disease.

Key words

rheumatism - pregnancy - lupus erythematosus - antiphospholipid antibodies - arthritis - vasculitis

Full Text

References

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