Management of pregnancy complicated by ankylosing spondylitis: A case report and literature review

Midorikawa, Asumi; Wang, Liangcheng; Kuwata, Tomoyuki; Taniguchi, Yoshifumi; Horiuchi, Isao; Matsushita, Chikako; Chikazawa, Kenro; Takagi, Kenjiro

doi:10.1002/ccr3.2085

Cited by 2 publications

(1 citation statement)

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“…They advocate for a vigilant approach to early symptom recognition, comprehensive education for patients and families, and an integrated mental health care strategy. This case reinforces the need for a holistic, family-centered approach in MCH, particularly for managing chronic conditions like AS in the context of motherhood [ 16 ]. It highlights the crucial role of family medicine principles in improving patient care and outcomes in rural healthcare environments [ 17 ].…”

Section: Discussionsupporting

confidence: 54%

Biopsychosocial Management of Rural Ankylosing Spondylitis in a Pregnant Woman: A Case Report

Ohta,

Sano

2024

Cureus

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In a rural Japanese setting, this case report delves into managing a post-partum woman diagnosed with ankylosing spondyloarthritis (AS), showcasing the complexities of balancing effective pain relief with breastfeeding. The study highlights a multifaceted approach that incorporates medical treatment, psychosocial support, and comprehensive patient education, which are essential in rural healthcare where resources may be scarce. Initially managed with diclofenac due to its safer profile for breastfeeding, the patient's treatment was eventually escalated to adalimumab, aligning with improved circumstances regarding breastfeeding. This case emphasizes the critical role of holistic, patient-centered care in family medicine, particularly for managing maternal and child health chronic conditions. It illustrates how integrating mental health support, acknowledging patient fears, and educating families can significantly enhance patient care and outcomes. Through this approach, the report advocates for a broader application of family medicine principles to improve maternal and child health services in rural settings, demonstrating the importance of tailored healthcare strategies that consider patients' medical and emotional needs.

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Section: Discussionsupporting

confidence: 54%