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Rheumatische Erkrankungen in der Schwangerschaft

Rheumatic diseases during pregnancy

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Zusammenfassung

Die Behandlungsmöglichkeiten entzündlich-rheumatischer Erkrankungen wie der rheumatoiden Arthritis, Spondylitis ankylosans und des systemischen Lupus erythematodes verbessern sich stetig. Dies führt auch dazu, dass sich eine wachsende Zahl der oft jungen Patientinnen ihren Kinderwunsch erfüllen möchte. Das zunehmende Verständnis der Erkrankungsverläufe in der Schwangerschaft bzw. postpartal erlaubt eine optimierte Beratung der betroffenen Frauen vor Konzeption. Von entscheidender Bedeutung sind die Planung einer Schwangerschaft in einer möglichst inaktiven Erkrankungsphase und eine regelmäßige Überwachung. Dabei sind die sorgfältige Einschätzung möglicher Risiken und die Aufklärung über den Einsatz von antirheumatischen Therapien vor, während und nach einer Gravidität wichtige Bestandteile.

Abstract

The treatment of inflammatory rheumatic diseases, such as rheumatoid arthritis, spondylitis ankylosans and systemic lupus erythematosus, is improving continuously. This has lead to an increasing number of young patients with a wish to have children. Greater insight into the course of rheumatic diseases during pregnancy and post partum has enabled optimized support for women with rheumatic diseases wishing to have children. To ensure a favorable outcome, pregnancy should be started during a period of disease stability and should be monitored closely. A careful assessment of possible risks and the justified use of antirheumatic drugs before, during and after pregnancy are key issues for success.

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Fischer-Betz, R. Rheumatische Erkrankungen in der Schwangerschaft. Internist 53, 1047–1053 (2012). https://doi.org/10.1007/s00108-012-3029-2

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