Department of Pharmacology, Acharya & BM Reddy College of Pharmacy, Acharya Dr. Sarvepalli Radhakrishna Road, Achit Nagar (Post), Soldevanahalli, Bengaluru, 560090, India.
Inflammopharmacology. 2024 Aug;32(4):1-17. doi: 10.1007/s10787-024-01482-3. Epub 2024 Apr 30.
This study comprehensively explores the complexities of rheumatoid arthritis during pregnancy and its impact on offspring. Through an extensive review of existing literature, we investigate maternal and fetal risks, including adverse pregnancy outcomes and developmental issues in offspring. Utilizing reputable databases such as PubMed, Google Scholar, and Science Direct, we meticulously examined studies exploring the connection between rheumatoid arthritis and pregnancy complications, with a focus on outcomes for offspring. We excluded studies lacking sufficient data or peer review. Synthesizing findings from selected studies, we identified common themes and patterns, presenting results in a clear, organized manner. Our examination reveals a heightened likelihood of preterm birth and preeclampsia among pregnant individuals with rheumatoid arthritis, often correlated with disease activity. Furthermore, we highlight the impact on fetal and neonatal outcomes, such as low birth weight, underscoring the importance of meticulous disease management throughout pregnancy. Balancing the necessity of disease-modifying agents with potential risks, and consideration of medication safety is paramount. A multidisciplinary approach involving rheumatologists and obstetricians is crucial for optimizing outcomes. In conclusion, this synthesis underscores the nuanced challenges of rheumatoid arthritis in pregnancy. A comprehensive understanding and personalized, multidisciplinary approach to an organization is essential for informed decision-making in clinical practice. Our review contributes to ongoing discourse, providing insights for enhanced patient care and guiding future research endeavors.
这项研究全面探讨了类风湿关节炎在妊娠期间的复杂性及其对后代的影响。通过对现有文献的广泛回顾,我们调查了母体和胎儿的风险,包括不良妊娠结局和后代的发育问题。我们利用 PubMed、Google Scholar 和 Science Direct 等知名数据库,仔细研究了探讨类风湿关节炎与妊娠并发症之间联系的研究,重点关注后代的结局。我们排除了数据不足或未经同行评审的研究。从选定的研究中综合分析结果,我们确定了常见的主题和模式,以清晰、有组织的方式呈现结果。我们的研究发现,患有类风湿关节炎的孕妇早产和子痫前期的可能性更高,这通常与疾病活动度相关。此外,我们还强调了对胎儿和新生儿结局的影响,如低出生体重,这突显了在整个妊娠期间精细管理疾病的重要性。平衡疾病修饰药物的必要性与潜在风险,并考虑药物安全性至关重要。涉及风湿病学家和妇产科医生的多学科方法对于优化结局至关重要。总之,本综述强调了类风湿关节炎在妊娠期间的细微挑战。全面理解和个性化的多学科方法对于在临床实践中做出明智决策至关重要。我们的综述为正在进行的讨论做出了贡献,为增强患者护理提供了见解,并指导未来的研究努力。