Can ankylosing spondylitis patients be pregnant

summary

Ankylosing spondylitis (as) is a chronic progressive disease, mainly involving sacroiliac joint, spinal process, paraspinal soft tissue and peripheral joints, and can be accompanied by extraarticular manifestations. Severe cases may have spinal deformity and ankylosis. At present, the etiology is unknown, the gene has obvious correlation, and there is a family genetic tendency. As does not affect the fertility of patients, and although the disease is related to genetic factors, not all the offspring of as patients are sick. After a comprehensive evaluation of the patient's condition before and during pregnancy, the patient can get pregnant in a stable condition, but it should be carried out under the close guidance of the doctor.

Can ankylosing spondylitis patients be pregnant

First: pre pregnancy consultation: patients should have pre pregnancy consultation, ask the rheumatic immunologist to evaluate the general situation of the patient, whether as is active and the safety of drugs used; for those who have severe joint or spinal deformity and cannot take care of themselves, it will be very difficult to bear pregnancy and childbirth, and should fully explain the risk of pregnancy, and advise them to consider carefully. Generally, anti rheumatic drugs used in the treatment of as will have adverse effects on the fetus, such as sulfasalazine will affect the quality of sperm and oocytes, methotrexate and non steroidal anti infection, and pregnancy can be considered only when the condition is stable and the above drugs are stopped for more than 3 months.

Second: during pregnancy: Patients with active as during pregnancy were treated with prednisone according to the doctor's advice, which had no adverse effect on the fetus. Drug treatment should be strictly in accordance with the doctor's advice, can not arbitrarily change the drug dose and stop. For patients with active disease in early pregnancy, if the symptoms of drug treatment are still not improved, it is recommended to terminate the pregnancy.

Third: the choice of mode of delivery: pregnancy with as itself is not the indication of cesarean section, the mode of delivery mainly depends on obstetric indications. The choice of delivery mode does not affect the condition and pregnancy outcome of as. As patients have normal delivery ability and do not need too much psychological pressure. Postpartum: due to pregnancy complicated with as, the patient's condition may worsen within 6-12 weeks postpartum. Therefore, in addition to regular obstetric follow-up, the patient must pay attention to the change of as condition and regular follow-up in rheumatology and Immunology Department. When the condition is stable and there is no need to take drugs, breast-feeding can be used. If postpartum condition aggravation need drug treatment, should suspend lactation, and pay attention to breast health care, prevent mastitis.

matters needing attention

If the patient is in the period of acute attack, he should rest in bed strictly. In order to prevent hunchback deformity, we should try to reduce the height of the pillow or do not use the pillow when lying on the back. We should try to lie on the back as much as possible when sleeping. When walking, we should pay attention to holding our heads high, sitting upright, especially when lactating. Avoid standing for a long time, do not sit low stool, in order to prevent the occurrence of spinal flexion.