Clinical practice guidelines for the management of pregnancy in women with autoimmune rheumatic diseases of the Mexican College of Rheumatology. Part I.
Reumatol Clin
; 11(5): 295-304, 2015.
Article
em En, Es
| MEDLINE
| ID: mdl-25639457
ABSTRACT
BACKGROUND:
Pregnancy in women with autoimmune rheumatic diseases is associated with several maternal and fetal complications. The development of clinical practice guidelines with the best available scientific evidence may help standardize the care of these patients.OBJECTIVES:
To provide recommendations regarding prenatal care, treatment, and a more effective monitoring of pregnancy in women with lupus erythematosus (SLE), rheumatoid arthritis (RA) and antiphospholipid antibody syndrome (APS).METHODOLOGY:
Nominal panels were formed for consensus, systematic search of information, development of clinical questions, processing and grading of recommendations, internal validation by peers, and external validation of the final document. The quality criteria of the AGREE II instrument were followed.RESULTS:
The various panels answered the 37 questions related to maternal and fetal care in SLE, RA, and APS, as well as to the use of antirheumatic drugs during pregnancy and lactation. The recommendations were discussed and integrated into a final manuscript. Finally, the corresponding algorithms were developed. We present the recommendations for pregnant women with SLE in this first part.CONCLUSIONS:
We believe that the Mexican clinical practice guidelines for the management of pregnancy in women with SLE integrate the best available evidence for the treatment and follow-up of patients with these conditions.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Atencao_primaria_forma_integrada
Contexto em Saúde:
11_ODS3_cobertura_universal
/
5_ODS3_mortalidade_materna
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Cuidado Pré-Natal
/
Artrite Reumatoide
/
Síndrome Antifosfolipídica
/
Lúpus Eritematoso Sistêmico
Tipo de estudo:
Diagnostic_studies
/
Guideline
Limite:
Female
/
Humans
/
Pregnancy
País/Região como assunto:
Mexico
Idioma:
En
/
Es
Revista:
Reumatol Clin
Ano de publicação:
2015
Tipo de documento:
Article