Lupus & antiphospholipid syndrome

Infection vulnerability in pregnant women with and without systemic lupus erythematosus

LupusPublished Retrospective cohort study

Authors' conclusion

The risks of infection and adverse outcomes are significantly higher in pregnant women with SLE than in the non-SLE population.

Study context

Population
Emirati women with SLE pregnant between January 2010 and August 2023 and age-matched women without SLE, Tawam Hospital, Abu Dhabi, United Arab Emirates87 pregnancies in 41 women with SLE
Exposure
Pregnant women with SLE vs age-matched women without SLE
Outcome
Infection during pregnancy
Methodological detailsage-matched control group, univariate and multivariate regression analyses
  • Age-matched control group
  • Univariate and multivariate regression analyses

Main finding

As reported in the abstract

Infection rate during pregnancy

Observational data: associations, not effects.

Further findings

Adverse fetal outcomes

Maternal outcomes

Adverse fetal outcomes

Significantly higher in the SLE group than in the control group

Maternal outcomes

Significantly higher in the SLE group than in the control group

Factors associated with infection risk in pregnant women with SLE

Respiratory infections were the most prevalent infection type
No variable was found to increase the risk of infection
HCQ use during pregnancy significantly associated with a reduced risk of infection

Mean age at conception

Higher in women with SLE than in the control group

Original publication

Infection vulnerability in pregnant women with and without systemic lupus erythematosus. Lupus. Published 21 May 2025. doi:10.1177/09612033251344195

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