Systemic lupus erythematosus and pregnancy

Research output: Chapter in Book/Report/Conference proceedingChapter


Systemic lupus erythematosus (SLE) disproportionally impacts women during their childbearing years. Thus, issues regarding birth control, fertility, pregnancy, and nursing commonly arise in the care of young women with SLE. For many years, contraceptive choices for SLE patients were limited due to concerns that hormone-containing contraceptives would increase disease activity. Pregnancy itself was thought to exacerbate disease activity, and patients were often counseled that they should avoid becoming pregnant. Medication use during pregnancy and nursing was likewise thought to be limited which further complicated the management of the pregnant lupus patient. Fortunately, the past two decades have brought us a better understanding of how SLE disease activity responds to pregnancy. Newer treatment regimens have improved disease outcome and enabled more patients to contemplate pregnancy and parenthood. This chapter will discuss contraception, fertility, pregnancy, and nursing in women with SLE.

Original languageEnglish (US)
Title of host publicationLupus Erythematosus
Subtitle of host publicationClinical Evaluation and Treatment
PublisherSpringer New York
Number of pages14
ISBN (Electronic)9781461411895
ISBN (Print)1461411882, 9781461411888
StatePublished - Sep 1 2012

ASJC Scopus subject areas

  • General Medicine


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