Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion

Expected impact of immunomodulatory agents during pregnancy: A newborn's perspective

“…40 To ensure both the maternal and offspring health, whenever possible, pregnancy should be planned in advance, as well as the regimen protocol during it, and the child follow-up later on: multidisciplinary models for pregnancy care have arisen to resolve this problem. 71 Future perspectives answering the following knowledge gaps on immunomodulators during pregnancy should be considered: (1) the impact of biological therapies and small molecules on the fetal/ newborn organogenesis (extensive description of the immune phenotype), (2) the effect of concomitant immunomodulators (i.e., pred-…”

“…At present, expert opinions support the discontinuation of biological therapies and small molecules with the onset of pregnancy, except in cases in which the potential benefits to the mother outweigh the potential risk to the fetus 40 . To ensure both the maternal and offspring health, whenever possible, pregnancy should be planned in advance, as well as the regimen protocol during it, and the child follow‐up later on: multidisciplinary models for pregnancy care have arisen to resolve this problem 71 …”

Reproductive health and pregnancy clinic for patients with rheumatic diseases: A multidisciplinary‐care model description

“…According to the description of different models of multidisciplinary pregnancy care for patients with ARDs conducted by Pluma et al, the multidisciplinary team structure varied. 6 The rheumatologist was the main coordinator of multidisciplinary care in all models analyzed, 6 as in our clinic, although El Miedany & Palmer recommended that rheumatology nurse specialists should be involved in certain topics, such as family planning. 12 The model we employed coincides with hospitals in which pediatrics is included, in addition to rheumatology and OB/GYN.…”

“…12 The model we employed coincides with hospitals in which pediatrics is included, in addition to rheumatology and OB/GYN. 6 To identify emotional healthcare needs, such as a multidisciplinary rheumatology and reproductive healthcare clinic in Ireland, 13 we included the collaboration of different health and support professionals in psychology, nutrition, TA B L E 2 Patients' characteristics and pregnancy outcomes.…”

“…It employs a parallel multidisciplinary model. 6 The clinic treats childbearing-age, pregnant, and postpartum women with ARDs, referred from the rheumatology, and OB/GYN departments. We performed a retrospective cohort study of all pregnant women who attended the CREER from November 2018 to November 2023.…”