Lupus & antiphospholipid syndrome

Fetal and maternal morbidity in pregnant patients with Lupus: a 10-year US nationwide analysis

RMD OpenPublished Retrospective cohort study

Authors' conclusion

Our study demonstrates that fetal morbidity and severe maternal morbidity occur at a higher rate in patients with SLE compared with those without.

Study context

Population
All delivery-related hospital admissions in the US National Inpatient Sample, 2008 to 201740 million delivery admissions
Exposure
Deliveries in patients with systemic lupus erythematosus (SLE) vs deliveries in patients without SLE
  • SLEn = 51,161
Outcome
Fetal morbidity (pre-term delivery, IUGR) and 21 indicators of severe maternal morbidity (CDC definitions)
Methodological detailsnationwide, National Inpatient Sample, sample-weighted descriptive statistics
  • Nationwide
  • National Inpatient Sample
  • Sample-weighted descriptive statistics

Main finding

As reported in the abstract

Fetal morbidity

Intrauterine growth restriction (IUGR), SLE vs without SLE

8.0% vs 2.7%

Pre-term delivery, SLE vs without SLE

14.5% vs 7.3%

Observational data: associations, not effects.

Further findings

Severe maternal morbidity during delivery

Blood transfusion or cerebrovascular disorder: mothers with SLE nearly four times as likely
Acute renal failure: mothers with SLE 15 times as likely

Original publication

Fetal and maternal morbidity in pregnant patients with Lupus: a 10-year US nationwide analysis. RMD Open. Published 25 April 2023. doi:10.1136/rmdopen-2022-002752

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.