Lupus & antiphospholipid syndrome

Pregnancy Outcomes in a Diverse US Lupus Cohort

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Authors' conclusion

We found that approximately 74% of pregnancies in patients with SLE ended in live birth, with modest variability in spontaneous abortion by race and ethnicity, nephritis history, and aPL status.

Study context

Population
Pregnancies with outcomes observed 2011–2020 among patients with prevalent systemic lupus erythematosus (SLE), Kaiser Permanente Northern California; racially and ethnically diverse cohort
Participants
453 participants657 pregnancies
Outcome
Live birth rate
Methodological detailselectronic health records
  • Electronic health records

Main finding

As reported in the abstract

Pregnancy outcomes

Live birth

74%

Spontaneous abortion

23%

Ectopic or molar pregnancy

2%

Stillbirth

<1%

Observational data: associations, not effects.

Further findings

Live births by race and ethnic group
72%-79%
Live births by aPL status
69.5%-77%
Live births by nephritis history
71%-75%
  • Limited variability

Original publication

Pregnancy Outcomes in a Diverse US Lupus Cohort. Arthritis Care Res (Hoboken). Published 6 February 2024. doi:10.1002/acr.25279

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