Spondyloarthritis & psoriatic arthritis

Evaluation of pregnancy outcomes in patients with spondyloarthritis compared to the general population: results from a French national prospective and matched study

Ann Rheum DisPublished Prospective cohort study

Main finding · SGA (the most common adverse pregnancy outcome)Result — go to the resultOdds ratio 1.94 95% CI 1.09–3.39

Authors' conclusion

In this contemporary cohort, compared to the general population, SpA was associated with a higher risk of SGA, but no other adverse pregnancy outcomes, providing reassurance for most pregnant women with SpA.

Study context

Population
Pregnant women with spondyloarthritis (SpA), France, December 2015 to June 2021 (mean age 32.1 years; mean disease duration 6.3 years; 50.4% nulliparous)SpA pregnancies in 124 women
Participants
135 SpA pregnancies
Exposure
SpA pregnancies vs matched general population women
Outcome
Frequency of adverse pregnancy outcomes
Methodological detailsmulticentre, matched (1:4) general population controls, logistic regression
  • Multicentre
  • Matched (1:4) general population controls
  • Logistic regression

Main finding

SGA (the most common adverse pregnancy outcome)

Odds ratio

1.94

95% CI 1.09–3.39

By group

SpAvs Controls
OR 1.94 (95% CI 1.09–3.39)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Predictors of small for gestational age (SGA) in women with SpA

No predictor of SGA identified

Original publication

Evaluation of pregnancy outcomes in patients with spondyloarthritis compared to the general population: results from a French national prospective and matched study. Ann Rheum Dis. Published 15 November 2025. doi:10.1016/j.ard.2025.10.024

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