Document Detail


Women's health and fertility, family planning and pregnancy in immune-mediated rheumatic diseases: a report from a south-eastern European Expert Meeting.
MedLine Citation:
PMID:  25436516     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
With current advances in medical treatment, reproductive issues have become more important for women with chronic immune-mediated diseases. Most, if not all, patients report that their disease affects their personal relationships, their decision to have children, and the size of their family. These decisions are multi-factorial, influenced mainly by concerns over the effect of pregnancy on the rheumatic disease, the impact of disease activity during pregnancy on foetal health, the patient's ability to care for the child, and the possible harmful effects medication could have on the child, both pre- and post-natally during breastfeeding. Apart from that, women's health issues tend to be overlooked in favour of the management of the underlying rheumatic disease. To this end, we convened an expert panel to review the published literature on women's health and reproductive issues and provide evidence- and eminence-based points to consider for the treating physicians. We conclude that there is a need for a change in mind-set from one which 'cautions against pregnancy' to one which 'embraces pregnancy' through the practice of individualised, pre- and post-conceptual, multi-disciplinary care.
Authors:
Stella Ntali; Nemanja Damjanov; Peter Drakakis; Ruxandra Ionescu; Desislava Kalinova; Rasho Rashkov; Ariadne Malamitsi-Puchner; Gerassimos Mantzaris; Lina Michala; Cristina Pamfil; Simona Rednic; Maria G Tektonidou; Sotirios Tsiodras; Dimitrios Vassilopoulos; Jelena Vojinovic; George K Bertsias; Dimitrios D Boumpas
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Publication Detail:
Type:  REVIEW     Date:  2014-11-7
Journal Detail:
Title:  Clinical and experimental rheumatology     Volume:  -     ISSN:  0392-856X     ISO Abbreviation:  Clin. Exp. Rheumatol.     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-12-1     Completed Date:  -     Revised Date:  2014-12-2    
Medline Journal Info:
Nlm Unique ID:  8308521     Medline TA:  Clin Exp Rheumatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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