Talk:Lupus and pregnancy

Miscellaneous section
I moved the following section to here, because it is clearly wp:Miscellaneous. For reinsertion, I think it needs some kind of clarification why this is important for the topic of SLE and pregnancy rather than for an individual case. Mikael Häggström (talk) 13:04, 18 July 2013 (UTC)

Miscellaneous
In April 2013 a case of a pregnant woman with SLE and lupus nephritis caught the attention of Amnesty International. The women in El Salvador had requested an abortion, and Amnesty international supported her in this, considering the abortion a "life saving treatment". . The woman eventually delivered her child by Cesarean section.

Annals of Internal Medicine 2015
Buyon JP, Kim MY, Guerra MM, et al. Original Research: Predictors of Pregnancy Outcomes in Patients With Lupus: A Cohort Study http://annals.org/article.aspx?articleid=2337277 Ann Intern Med. Published online 23 June 2015 doi:10.7326/M14-2235 Hahn BH Editorial: Pregnancy in Women With Systemic Lupus Erythematosus: Messages for the Clinician http://annals.org/article.aspx?articleID=2337279 Ann Intern Med. Published online 23 June 2015 doi:10.7326/M15-1301 Among 385 pregnancies, 5% ended in fetal or neonatal death. 19% had a bad outcome, as they defined it. Significantly worse for hispanic and black women. They are high-risk pregnancies, and require a high-risk obstetrician. SLE must be tightly controlled, with non-teratogenic drugs. --Nbauman (talk) 21:30, 7 July 2015 (UTC)

NIAMS Handout
That National Institute of Arthritis and Musculoskeletal and Skin Diseases handout is pretty lame. They explain things well (on a 14-year-old reading level), but the content leaves a lot out.

For example, under contraception, they only mention birth control pills. Every GYN I've ever spoken to, and every study I've ever read, says that when you must not get pregnant (for example, medical students), the most reliable contraceptives are the loop and implants. There was an article about that in JAMA Dermatology this week.

Most significantly, they don't give citations to their statements. For example, what is the study of rituximab they're referring to? You'll have to guess. --Nbauman (talk) 15:18, 12 July 2015 (UTC)

Lancet 2014
The following article has an excellent section on pregnancy: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960128-8/abstract Lisnevskaia L, Murphy G, Isenberg D Seminar: Systemic lupus erythematosus The Lancet, May 30, 2014, doi:10.1016/S0140-6736(14)60128-8 The Lancet describes much more directly than this Wikipedia entry the risks -- such as pre-eclampsia, kidney failure, and neonatal lupus syndrome. They also describe much more directly the strategies for managing pregnancy. I don't think that thefreedictionary.com is a WP:RS. Do you want to reassure people about the risks to their lives, and the lives of their children, using a web site that doesn't even identify an editorial board? --Nbauman (talk) 17:40, 12 July 2015 (UTC)