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Anesthesia for the Pregnant Patient with Autoimmune Disorders

  • Rie Kato
  • Toshiyuki Okutomi
Chapter

Abstract

Autoimmune disorders are common in women at their childbearing age. This chapter discusses systemic lupus erythematosus, antiphospholipid syndrome, Sjögren’s syndrome, and rheumatoid arthritis. All of them affect pregnancy outcome, and therefore careful management should be started before conception. Anesthetic considerations are also important depending on the clinical pathology of an individual parturient. These disorders may deteriorate during pregnancy and can result in cardiac, pulmonary, and renal dysfunction. Platelet count in systemic lupus erythematosus and anticoagulation therapy in antiphospholipid syndrome should be checked. Airway assessment is crucial particularly in rheumatoid arthritis.

Keywords

Systemic lupus erythematosus Antiphospholipid syndrome Sjögren’s syndrome Rheumatoid arthritis Anesthesia Thrombocytopenia Anticoagulation Interstitial pneumonia Pericarditis Nephritis 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Obstetric Anesthesia, Center for Perinatal Care, Child Health and DevelopmentKitasato University HospitalSagamiharaJapan

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