Pregnancy with RA / Arthritis and JIA, pediatric joints 2/5 (1)

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Rheumatoid arthritis (RA, arthritis) og Juvenile Arthritis (JIA)

Rheumatoid arthritis (RA) most often attack women (about 60%) and are common in younger people who want to get pregnant. Also Juvenile Arthritis (JIA) most often affects women and the disease is still active in adulthood in some.

  • The ability to conceive is usually not affected by the diseases, but pregnancy should be performed when the diseases are in a quiet phase. The need for medication is then the least
  • Not all medicines can be used right before or during pregnancy (see separate page via link below)
  • Often, the joint diseases are calm during pregnancy (60-75% experience improvement). Nevertheless, 20-30% of pregnant women with rheumatoid arthritis will have increased symptoms even during pregnancy and need for medical treatment
  • Most can give birth in the usual, vaginal way. Exception if one has severely affected hip joints or hip prostheses
  • After birth (weeks-months), the diseases become more active (flare-up) in between 20 and 45%. This is especially true of those who had active joint disease at the start of pregnancy
    • An appointment with a rheumatologist should be scheduled
  • Arthritis hardly debuts more commonly after birth (reference: Wallenius M, 2010). (But known RA flares up more often)
  • The heredity of RA and JIA is so small that special follow-up of children is not recommended

Literature


Separate page about pregnancy in rheumatic disease here

Separate page about rheumatoid arthritis (Arthritis) here

Separate page about rheumatic diseases in children here


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