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MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


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Minerva Ginecologica 2018 April;70(2):178-93

DOI: 10.23736/S0026-4784.17.04030-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: Italian

Gynecological and obstetrical management of rheumatic diseases in reproductive age

Franco PEPE 1, Mariagrazia STRACQUADANIO 2 , Agata PRIVITERA 3, Lilliana CIOTTA 2, Francesco DE LUCA 3

1 Unit of Obstetrics and Gynecology, Santo Bambino Hospital, Catania, Italy; 2 Institute of Gynecologic and Obstetric Pathology, Santo Bambino Hospital, Catania, Italy; 3 Unit of Pediatric Cardiology, Santo Bambino Hospital, Catania, Italy


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The gynecologist’s role in the management of rheumatic patients is complex: it includes the prevention of damage caused by drugs, the counseling about contraception to avoid pregnancy while taking teratogen drugs, the scheduling of pregnancy during the quiescent phase of the specific disease, the replacement of teratogen drugs and a competent management of the pregnancy. The task is carried out as part of a multidisciplinary team with a focus on the differential diagnosis between specific complications of pregnancy and the complications of the rheumatic disease. This is the right way to allow a conscious reproduction, with reduced risks and acceptable maternal-fetal outcomes, to this kind of patients considered at high risk.


KEY WORDS: Autoimmune diseases - Diffuse scleroderma - Systemic lupus erythematosus - Rheumatoid arthritis - Pregnancy complications - Pre-eclampsia

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Publication History

Issue published online: February 2, 2018
Article first published online: September 5, 2017
Manuscript accepted: August 30, 2017
Manuscript revised: July 10, 2017
Manuscript received: February 15, 2017

Cite this article as

Pepe F, Stracquadanio M, Privitera A, Ciotta L, De Luca F. Malattie reumatiche in età riproduttiva. Minerva Ginecol 2018;70:178-93. DOI: 10.23736/S0026-4784.17.04030-8

Corresponding author e-mail

mariagrazia.stracquadanio@gmail.com