Lupus & antiphospholipid syndrome

The Impact of Pregnancy Readiness on Lupus Activity, Maternal Mental Health, and Pregnancy Outcomes

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

To improve pregnancy outcomes among individuals with SLE, greater focus is needed on improving medical optimization before conception.

Study context

Population
Pregnant individuals with systemic lupus erythematosus (SLE) (SLICC criteria) in a prospective registry
Participants
111 individuals
Exposure
Medically ready vs not medically ready, and personally ready vs not personally ready for pregnancy
Outcome
Provider-reported disease activity, patient-perceived disease activity, mood symptoms, pregnancy-related health behaviors and pregnancy outcomes
Methodological detailsprospective registry, multivariable logistic regression
  • Prospective registry
  • Multivariable logistic regression

Main finding

As reported in the abstract

  • Lack of medical readiness associated with significantly higher rates of active disease and worse pregnancy outcomes, but not with higher patient-perceived disease activity
  • Lack of personal readiness associated with significantly higher patient-perceived disease activity
  • Medical readiness did not impact depressive symptoms substantially; lack of personal readiness associated with much higher maternal depressive symptoms

Observational data: associations, not effects.

Original publication

The Impact of Pregnancy Readiness on Lupus Activity, Maternal Mental Health, and Pregnancy Outcomes. Arthritis Care Res (Hoboken). Published 8 September 2024. doi:10.1002/acr.25430

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

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