Sjögren's disease & overlap diseases

Fetal–neonatal and maternal outcomes in women with Sjögren syndrome: a population-based registry linkage study

Rheumatology (Oxford)Published Population-based registry linkage cohort study

Authors' conclusion

Women with SS have significant risks of adverse fetal-neonatal and maternal outcomes

Study context

Population
Pregnancies between 2004 and 2014, Taiwan National Health Insurance database and birth registry
Participants
2,100,143 pregnancies
Exposure
Pregnancies in women with sjögren syndrome (SS) vs without SS
  • SSn = 449
  • Non-SSn = 2,099,694reference
Outcome
Fetal-neonatal and maternal outcomes
Methodological detailsTaiwan National Health Insurance database and birth registry linkage
  • Taiwan National Health Insurance database and birth registry linkage

Main finding

As reported in the abstract

Fetal-neonatal outcomes
SS vs Non-SSOdds ratio (95% CI)
Stillbirth
2.14(1.01–4.55)
Low birth weight (<2500 g)
2.53(1.92–3.33)
Small for gestational age
2.03(1.57–2.03)
Fetal distress
1.72(1.2–2.45)

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Maternal outcomesSSvs Non-SSPulmonary oedema11.64 (1.62–83.48)
Maternal outcomesSSvs Non-SSShock6.07 (1.51–24.3)
Maternal outcomesSSvs Non-SSRespiratory distress5.61 (1.39–22.6)

Original publication

Fetal–neonatal and maternal outcomes in women with Sjögren syndrome: a population-based registry linkage study. Rheumatology (Oxford). Published 5 January 2023. doi:10.1093/rheumatology/keac711

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