Pregnant women with lupus or rheumatoid arthritis may
experience more pregnancy complications and longer hospitalizations
than other women, a new study finds.
Stanford University researchers analyzed 2002 data from
the Nationwide Inpatient Sample, which contains discharge
records from representative U.S. hospitals. The researchers
compared delivery outcomes and hospitalizations for nearly
3,300 women with lupus and more than 1,400 women with
rheumatoid arthritis to women in the general population.
Reporting at this week's annual scientific meeting of
the American College of Rheumatology in San Diego, they
found that women with lupus had twice the rate of hypertensive
disorders, compared to women with rheumatoid arthritis.
Women with either lupus or rheumatoid arthritis had higher
rates of hypertensive disorders than pregnant women in
the general population.
Women with lupus or rheumatoid arthritis also faced higher
rates of intrauterine growth restrictions and Cesarean
delivery, the study said.
"Women with either lupus and/or rheumatoid arthritis
are typically somewhat older when they become pregnant,"
researcher Dr. Eliza F. Chakravarty, assistant professor
of medicine with Stanford's division of immunology and
rheumatology, noted in a prepared statement.
"However, even after adjusting for maternal age, they
run a higher risk for adverse outcomes and generally experience
longer hospital stays than other women. As a result, they
should be monitored carefully for the length of their
pregnancies," Chakravarty said.
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Reference
Source 101
November
15, 2005