Pre-pregnancy planning for female patients seen at a pregnancy and rheumatic diseases clinic: a retrospective analysis of patients with rheumatic diseases seeking pregnancy-related care
To assess the clinical utility of pre-pregnancy planning among female patients with rheumatic diseases attending a targeted pregnancy and rheumatic diseases clinic. We conducted a retrospective review using data collected via chart review of female patients with rheumatic diseases seen at the Pregna...
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| Veröffentlicht in: | Rheumatology international 2024-02, Vol.44 (2), p.283-289 |
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| creator | Gupta, Amit De Vera, Mary A. Rebić, Nevena Amiri, Neda |
| description | To assess the clinical utility of pre-pregnancy planning among female patients with rheumatic diseases attending a targeted pregnancy and rheumatic diseases clinic. We conducted a retrospective review using data collected via chart review of female patients with rheumatic diseases seen at the Pregnancy and Rheumatic Diseases Clinic at the Mary Pack Arthritis Centre in Vancouver, Canada, between January 2017 and July 2020. Patients were categorized according to an initial presentation at the clinic as (1) pregnant without pre-pregnancy planning; and (2) not pregnant with pre-pregnancy planning. The latter group was further categorized according to whether they had contraindications to pregnancy. Pregnancy outcomes were extracted from electronic medical records and analyzed using descriptive statistics. Our study included 230 female patients with rheumatic diseases. At the initial clinical presentation, 86 were pregnant and 144 were planning to become pregnant and presenting for pre-pregnancy planning. Compared to patients without pre-pregnancy planning, patients who received pregnancy planning experienced fewer prenatal disease flares (61.3% [38/62] vs. 22.6% [7/31];
p
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| doi_str_mv | 10.1007/s00296-023-05398-z |
| format | Article |
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p
< 0.001), fewer medication changes during pregnancy (46.4% [39/84] vs. 18.9% [10/53];
p
= 0.002), and improved disease control in the first trimester of pregnancy (
p
= 0.018). There were no statistically significant differences in the frequency of adverse pregnancy or fetal outcomes between patients with and without pre-pregnancy planning. Evaluation of patient outcomes suggests that pre-pregnancy planning may support early assessment of high-risk pregnancy status; therein, allowing healthcare providers to identify and manage risk factors for adverse pregnancy outcomes among patients living with rheumatic diseases.</description><identifier>ISSN: 1437-160X</identifier><identifier>ISSN: 0172-8172</identifier><identifier>EISSN: 1437-160X</identifier><identifier>DOI: 10.1007/s00296-023-05398-z</identifier><identifier>PMID: 37535072</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Female ; Females ; Humans ; Medicine ; Medicine & Public Health ; Observational Research ; Pregnancy ; Pregnancy Complications - therapy ; Pregnancy Outcome - epidemiology ; Retrospective Studies ; Rheumatic diseases ; Rheumatic Diseases - therapy ; Rheumatology ; Risk Factors</subject><ispartof>Rheumatology international, 2024-02, Vol.44 (2), p.283-289</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-28576540ad9d74692b471d2b0b8c02124846356b1ac1aa293732cdbe8d8c98903</citedby><cites>FETCH-LOGICAL-c375t-28576540ad9d74692b471d2b0b8c02124846356b1ac1aa293732cdbe8d8c98903</cites><orcidid>0000-0002-6466-5357 ; 0000-0003-2185-3347 ; 0000-0002-2205-2683 ; 0000-0002-2558-1791</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00296-023-05398-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00296-023-05398-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37535072$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, Amit</creatorcontrib><creatorcontrib>De Vera, Mary A.</creatorcontrib><creatorcontrib>Rebić, Nevena</creatorcontrib><creatorcontrib>Amiri, Neda</creatorcontrib><title>Pre-pregnancy planning for female patients seen at a pregnancy and rheumatic diseases clinic: a retrospective analysis of patients with rheumatic diseases seeking pregnancy-related care</title><title>Rheumatology international</title><addtitle>Rheumatol Int</addtitle><addtitle>Rheumatol Int</addtitle><description>To assess the clinical utility of pre-pregnancy planning among female patients with rheumatic diseases attending a targeted pregnancy and rheumatic diseases clinic. We conducted a retrospective review using data collected via chart review of female patients with rheumatic diseases seen at the Pregnancy and Rheumatic Diseases Clinic at the Mary Pack Arthritis Centre in Vancouver, Canada, between January 2017 and July 2020. Patients were categorized according to an initial presentation at the clinic as (1) pregnant without pre-pregnancy planning; and (2) not pregnant with pre-pregnancy planning. The latter group was further categorized according to whether they had contraindications to pregnancy. Pregnancy outcomes were extracted from electronic medical records and analyzed using descriptive statistics. Our study included 230 female patients with rheumatic diseases. At the initial clinical presentation, 86 were pregnant and 144 were planning to become pregnant and presenting for pre-pregnancy planning. Compared to patients without pre-pregnancy planning, patients who received pregnancy planning experienced fewer prenatal disease flares (61.3% [38/62] vs. 22.6% [7/31];
p
< 0.001), fewer medication changes during pregnancy (46.4% [39/84] vs. 18.9% [10/53];
p
= 0.002), and improved disease control in the first trimester of pregnancy (
p
= 0.018). There were no statistically significant differences in the frequency of adverse pregnancy or fetal outcomes between patients with and without pre-pregnancy planning. Evaluation of patient outcomes suggests that pre-pregnancy planning may support early assessment of high-risk pregnancy status; therein, allowing healthcare providers to identify and manage risk factors for adverse pregnancy outcomes among patients living with rheumatic diseases.</description><subject>Female</subject><subject>Females</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Observational Research</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - therapy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Retrospective Studies</subject><subject>Rheumatic diseases</subject><subject>Rheumatic Diseases - therapy</subject><subject>Rheumatology</subject><subject>Risk Factors</subject><issn>1437-160X</issn><issn>0172-8172</issn><issn>1437-160X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1rFTEYhYNYbK3-ARcScNPNaD5m8uFOilWhYBcK7kImeec2dSYzJpnK7T_z35l6a6-IuEogzzkn73sQekbJS0qIfJUJYVo0hPGGdFyr5uYBOqItlw0V5MvDP-6H6HHOV4RQKQR5hA657HhHJDtCPy4SNEuCTbTRbfEy2hhD3OBhTniAyY6AF1sCxJJxBojYFmzxXmCjx-kS1qlCDvuQwWbI2I0hBve6oglKmvMCroRrqLgdtzlkPA973--hXP7LpOZ9vf3LfVqTYLQFPHY2wRN0MNgxw9O78xh9Pnv76fR9c_7x3YfTN-eNq1OWhqlOiq4l1msvW6FZ30rqWU965QijrFWt4J3oqXXUWqa55Mz5HpRXTitN-DE62fkuaf62Qi5mCtnBWDcF85oNU21XA5TUFX3xF3o1r6mOXClNBeuIbmml2I5ydTE5wWCWFCabtoYSc1us2RVrarHmV7Hmpoqe31mv_QT-XvK7yQrwHZDrU9xA2mf_x_YnwE-yjg</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Gupta, Amit</creator><creator>De Vera, Mary A.</creator><creator>Rebić, Nevena</creator><creator>Amiri, Neda</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6466-5357</orcidid><orcidid>https://orcid.org/0000-0003-2185-3347</orcidid><orcidid>https://orcid.org/0000-0002-2205-2683</orcidid><orcidid>https://orcid.org/0000-0002-2558-1791</orcidid></search><sort><creationdate>20240201</creationdate><title>Pre-pregnancy planning for female patients seen at a pregnancy and rheumatic diseases clinic: a retrospective analysis of patients with rheumatic diseases seeking pregnancy-related care</title><author>Gupta, Amit ; De Vera, Mary A. ; Rebić, Nevena ; Amiri, Neda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-28576540ad9d74692b471d2b0b8c02124846356b1ac1aa293732cdbe8d8c98903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Female</topic><topic>Females</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Observational Research</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - therapy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Retrospective Studies</topic><topic>Rheumatic diseases</topic><topic>Rheumatic Diseases - therapy</topic><topic>Rheumatology</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, Amit</creatorcontrib><creatorcontrib>De Vera, Mary A.</creatorcontrib><creatorcontrib>Rebić, Nevena</creatorcontrib><creatorcontrib>Amiri, Neda</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Rheumatology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, Amit</au><au>De Vera, Mary A.</au><au>Rebić, Nevena</au><au>Amiri, Neda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre-pregnancy planning for female patients seen at a pregnancy and rheumatic diseases clinic: a retrospective analysis of patients with rheumatic diseases seeking pregnancy-related care</atitle><jtitle>Rheumatology international</jtitle><stitle>Rheumatol Int</stitle><addtitle>Rheumatol Int</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>44</volume><issue>2</issue><spage>283</spage><epage>289</epage><pages>283-289</pages><issn>1437-160X</issn><issn>0172-8172</issn><eissn>1437-160X</eissn><abstract>To assess the clinical utility of pre-pregnancy planning among female patients with rheumatic diseases attending a targeted pregnancy and rheumatic diseases clinic. 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Compared to patients without pre-pregnancy planning, patients who received pregnancy planning experienced fewer prenatal disease flares (61.3% [38/62] vs. 22.6% [7/31];
p
< 0.001), fewer medication changes during pregnancy (46.4% [39/84] vs. 18.9% [10/53];
p
= 0.002), and improved disease control in the first trimester of pregnancy (
p
= 0.018). There were no statistically significant differences in the frequency of adverse pregnancy or fetal outcomes between patients with and without pre-pregnancy planning. Evaluation of patient outcomes suggests that pre-pregnancy planning may support early assessment of high-risk pregnancy status; therein, allowing healthcare providers to identify and manage risk factors for adverse pregnancy outcomes among patients living with rheumatic diseases.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37535072</pmid><doi>10.1007/s00296-023-05398-z</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6466-5357</orcidid><orcidid>https://orcid.org/0000-0003-2185-3347</orcidid><orcidid>https://orcid.org/0000-0002-2205-2683</orcidid><orcidid>https://orcid.org/0000-0002-2558-1791</orcidid></addata></record> |
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| subjects | Female Females Humans Medicine Medicine & Public Health Observational Research Pregnancy Pregnancy Complications - therapy Pregnancy Outcome - epidemiology Retrospective Studies Rheumatic diseases Rheumatic Diseases - therapy Rheumatology Risk Factors |
| title | Pre-pregnancy planning for female patients seen at a pregnancy and rheumatic diseases clinic: a retrospective analysis of patients with rheumatic diseases seeking pregnancy-related care |
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