Pregnancy and Takayasu arteritis: A single centre experience from North India

Abstract

Adequate control of blood pressure during pregnancy, planning the timing and mode of the delivery and vigilant monitoring during intrapartum period with special reference to management of blood pressure and its complications is essential for an optimum outcome.

Managing pregnancy in inflammatory rheumatological diseases

“…It is the presenting feature in TA and pregnancy, and pre-eclampsia complicated 62% of cases in a recent single-center Indian study [47]. Pregnancy complications and cesarean section were significantly higher in BD patients than in controls [45], as with most other vasculitides, particularly TA and WG.…”

Pregnancy in Takayasu arteritis - maternal and fetal outcome

“…19 Maternal death by exacerbated hypertension and its complications. 18 Abruption, Cardiac failure, described in 2 studies. 20 The rare, potentially fatal maternal complications such as aortic aneurysm, cerebral haemorrhage, has also been reported.…”

“…[16][17][18] Involvement of abdominal aorta and renal vessels could be the cause for higher incidence of IUGR (29.5%) and poor perinatal outcome. Pulmonary hypertension is a common feature with high maternal mortality.…”

Pulseless and Ambulatory Pregnant Woman: An Obstetric and Medical Challenge

“…Earlier literature has suggested that most of the pregnant patient with TA reached successfully till term and had vaginal deliveries with fair fetal outcome. Those patients were mostly of types I and II TA [12,13]. Incidences of secondary HT and IUGR were low in those patients.…”