The Centers for Disease Control and Prevention in the United StatesDr Tan of SGH said only 2 per cent of babies born to mothers with SLE may have neonatal lupus, a rare condition that occurs in babies who were exposed to certain lupus antibodies in the womb.
Women with lupus who have APS can have an increased risk of blood clotting, affecting the blood flow in the placenta, potentially leading to miscarriage. “Most of the prednisolone is metabolised or processed by the placenta, so little of it reaches the baby,” Assoc Prof Tan said. “Many mothers with lupus needlessly denied themselves this medication and ended up compromising their own welfare and that of their babies too.”In SGH, women with lupus are referred to the Rheumatology Obstetric Clinic at the
Assoc Prof Chia of TTSH said that expectant mothers with lupus should consult their rheumatologist every two to four weeks, especially in the last trimester. “Each visit, they will have blood and urine tests, a complete history and physical examination plus a review of their medications." Dr Tan of SGH said continuing medication prescribed is key to keeping flares at bay, especially if the mother is still experiencing symptoms.
Source: Healthcare Press (healthcarepress.net)
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