Rheumatism in Pregnancy

The Rheumatology Reproductive Health Clinic

Established in 2013 between Rheumatology OLH/St. Vincent’s Hospital and Maternal Medicine at the National Maternity Hospital, Holles St. has reported outcomes of the first four years of service development and research. The clinic is a multidisciplinary body led by dedicated nurses, doctors and allied health professionals that aim to improve the standard of care for women with rheumatic diseases who are planning a family. The clinic aims to identify patient’s needs and to ensure a multidisciplinary approach to optimise good disease control at each stage of pregnancy.

A total of 98 women attended the clinic from January 2013-2016 with the majority suffering from rheumatoid or psoriatic arthritis. There were 24 women on biologic DMARD therapy at time of conception and 38% continued these throughout the pregnancy. There were a total of 76 births. Following a patient survey, 90% of the women involved were “very satisfied” with the standard of care and physical and emotional support they received in the clinic. The data indicates towards the success of the clinic and the need for a multidisciplinary approach at all stages of pregnancy in women with rheumatic diseases.

The results from this study are to be presented at the 2018 EULAR conference in Amsterdam.

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