Reproductive Health Counseling in Rheumatology: Gaps, Barriers, and Patient Impact

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Reproductive health counseling for rheumatology patients of childbearing potential is essential.

Study context

Population
Female rheumatology patients of childbearing potential not planning pregnancy18% of women aged 18–50 seen
Participants
101 patients
Outcome
Patient-reported receipt of reproductive health counseling by a rheumatologist
Methodological detailssurvey, quality improvement interventions, provider surveys before and after interventions
  • Survey
  • Quality improvement interventions
  • Provider surveys before and after interventions

Main finding

As reported in the abstract

Ever received reproductive health counseling by a rheumatologist

All patients

70%

Patients taking teratogenic medications

85%

Observational data: associations, not effects.

Further findings

Factors associated with counseling

Counseling rates higher in younger women and those taking teratogenic medications

Pregnancy-related attitudes after counseling

Counseled women less likely to be unsure whether safe to become pregnant and more likely to talk to their rheumatologist if planning future pregnancy

Agreement of patient-reported counseling with chart documentation

Poor agreement, except in women taking teratogenic medications

Effect of clinical interventions

Increase in referrals to Family Planning clinic
625%
Most providers found interventions made counseling easier

Original publication

Reproductive Health Counseling in Rheumatology: Gaps, Barriers, and Patient Impact. Arthritis Care Res (Hoboken). Published 18 February 2026. doi:10.1002/acr.80014

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