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Pregnancy and rheumatoid arthritis


Littlejohn EA1. Best Pract Res Clin Obstet Gynaecol. 2019 Oct 9. pii: S1521-6934(19)30136-1. doi: 10.1016/j.bpobgyn.2019.09.005. [Epub ahead of print]

Author Information

1 Cleveland Clinic, Department of Rheumatology and Immunology, 9500 Euclid Ave # A50, Cleveland, OH, 44195, USA. Electronic address: littlee3@ccf.org.


Rheumatoid arthritis commonly affects women of childbearing age. Fertility, family planning, control of disease activity and birth outcomes are all important issues to be discussed at preconception counseling. New data has offered insight on trends of fertility, disease control during pregnancy, and birth outcomes. This chapter provides an updated overview on expected disease course and management issues at each juncture with a particular focus on maintenance of tight disease control.