Pregnancy Outcomes from a Multidisciplinary Obstetric-Medicine/Rheumatology Clinic in the United States: A Five-Year Retrospective Analysis.
Griffin J ReedMery DeebJoyce MathewKelsey RigbyElena CravensChristina RakerShadi Jafari-EsfahaniAnthony M ReginatoGofran TarabulsiJoanne S CunhaPublished in: Arthritis care & research (2024)
Our study illustrates the benefits of multidisciplinary care in patients with rheumatologic disorders during their prenatal and perinatal periods. The expertise from both the obstetric-medicine internists and rheumatologists was critical in making complex decisions that weigh the benefits of therapy against potential risks for the fetus. Our multidisciplinary approach resulted in doubling of the number of patients on disease modifying therapy and increased prophylaxis with hydroxychloroquine and/or aspirin therapy as recommended by current guidelines. Additional multidisciplinary clinics of this type would help coordinate care between physicians that frequently treat these high-risk, unique patients and open the door for more research of this understudied population.
Keyphrases
- pregnant women
- end stage renal disease
- quality improvement
- primary care
- healthcare
- ejection fraction
- newly diagnosed
- chronic kidney disease
- pregnancy outcomes
- palliative care
- peritoneal dialysis
- prognostic factors
- low dose
- minimally invasive
- stem cells
- coronary artery disease
- patient reported outcomes
- bone marrow
- mesenchymal stem cells
- disease activity