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ISSN 1817-5996 (Electronic)

2013, Number 2

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Rev Cub de Reu 2013; 15 (2)

Ankylosing spondylitis and pregnancy

Suárez MR, Molinero RC, Prada HD, Hernández CIM, López MAM, López CG

Language: Spanish
References: 27
Page:
PDF size: 137.40 Kb.


ABSTRACT

Pregnancy is an important condition that can affect and can be affected by ankylosing spondylitis. In general, ankylosing spondylitis does not appear to interfere negatively with fertility, pregnancy, the fetus or breastfeeding. It is estimated that about 85-90 % of ankylosing spondylitis patients have a term pregnancy. On the other hand, an increase in Cesarean sections has been reported in ankylosing spondylitis. With regard to changes in disease activity during pregnancy, it has been reported that 30-55 % of ankylosing spondylitis patients experience no significant changes while about 24-33 % worsen, most often in the second trimester.


REFERENCES

  1. Ostensen M, Husby G. A prospective clinical study of the effect of pregnancy on rheumatoid arthritis and ankylosing spondylitis. Arthritis Rheum. 1983; 26(9): 1155-9.

  2. Ostensen M. Pregnancy in psoriatic arthritis. Scand J Rheumatol. 1988; 17(1): 67-70.

  3. Ostensen H, Husby G. Seronegative spondyloarthritis and ankylosing spondylitis: biological effects and management In: Scott JS, HA nb, eds. Pregnancy, Autoimmmunity and Connective Tissue Disorders. Oxford: Oxford University Press 1990:163-84.

  4. Ostensen M, Ostensen H. Ankylosing spondylitis--the female aspect. J Rheumatol. 1998; 25(1): 120-4.

  5. Förger F, Ostensen M, Schumacher A, Villiger P, M. Impact of pregnancy on health related quality of life evaluated prospectively in pregnant women with rheumatic diseases by the SF-36 health survey Ann Rheum Dis 2005;64:1494–99.

  6. Ostensen M, Fuhrer L, Mathieu R, Seitz M, Villiger PM. A prospective study of pregnant patients with rheumatoid arthritis and ankylosing spondylitis using validated clinical instruments. Ann Rheum Dis 2004; 63: 1212–17.

  7. Ostensen M, Husby G. Ankylosing spondylitis and pregnancy. Rheum Dis Clin North Am 1989; 15: 241–54.

  8. Gran JT, Ostensen M. Spondylarthritides in females. Ballieres Clin Rheumatol 1998; 12: 695–715.

  9. Ostensen M, Husby G. Pregnancy and rheumatic disease. A review of recent studies in rheumatoid arthritis and ankylosing spondylitis. Klin Wochenschr. 1984; 62(19): 891-95.

  10. Ostensen M, Ostensen H, Husby G. Ankylosing Spondylitis and Motherhood. Arthritis and Rheumatism. 1982; 25, (2): 140-43.

  11. Incel NA, Erdem HR, Ozgocmen S, Catal SA, Yorgancioglu ZR. Pain pressure threshold values in ankylosing spondylitis. Rheumatol Int 2002; 22: 148–50.

  12. Hainline B. Low-Back pain in pregnancy. In: Devinsky O, Feldmann E, Hainline B, eds. Neurological complications of pregnancy. New York: Raven Press, 1994: 65–76.

  13. Ostensen M. The effect of pregnancy on ankylosing spondylitis, psoriatic arthritis, and juvenile rheumatoid arthritis. Am J Reprod Immunol. 1992; 28(3-4): 235-7.

  14. Gerecz-Simon EM, Tunks ER, Heale JA, Kean WF, Buchanan WW. Measurement of pain threshold in patients with rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and healthy controls. Clin Rheumatol 1989; 8: 467–74.

  15. Gilleard W, Crosbie J, Smith R. Effect of pregnancy on trunk range of motion when sitting and standing. Acta Obstet Gynecol Scand 2002; 81: 1011–20.

  16. Goldsmith LT, Weiss G, Steinetz BG. Relaxin and its role in pregnancy. Endocrinol Metabol Clin North Am 1995; 24: 171–86.

  17. Reay Jones NH, Healy JC, King LJ, Saini S, Shousha S, Allen-Mersh TG. Pelvic connective tissue resilience decreases with vaginal delivery, menopause and uterine prolapse. Br J Surg 2003; 90: 466–72.

  18. McKee MD, Cunningham M, Jankowski KRB, Zayas L. Health-related functional status in pregnancy: relationship to depression and social support in a multi-ethnic population. Obstet Gynecol 2001; 97: 988–93.

  19. Ware JE, Sherbourne CD. The MOS 36-item short-form health status survey (SF-36). 1. Conceptual framework and item selection. Med Care 1992; 30: 473–83.

  20. Hueston WJ, Kasik-Miller S. Changes in functional health status during normal pregnancy. J Fam Pract 1998; 47: 209–12.

  21. Kvien TK, Kaasa S, Smedstad LM. Performance of the Norwegian SF-36 health survey in patients with rheumatoid

  22. arthritis. II. A comparison of the SF-36 with disease-specific measures. J Clin Epidemiology 1998; 51: 1077–86.

  23. Talamo J, Frater A, Gallivan S, Xoung A. Use of the short form 36 (SF36) for health status measurement in rheumatoid arthritis. Br J Rheumatol 1997; 36: 463–9.

  24. Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol 1994; 21: 2286–91.

  25. Van Tubergen A, Coenen J, Landewe R, Spoorenberg A, Chorus A, Boonen A, et al. Assessment of fatigue in patients with ankylosing spondylitis: a psychometric analysis. Arthritis Rheum 2002; 47: 8–16.

  26. Förger F, Villiger P M, Østensen M. Pregnancy in patients with ankylosing spondylitis: Do regulatory T cells play a role? Arthritis Care & Research 2009; 61, (2): 279–83.

  27. Base de Datos del Grupo para el estudio de las Espondiloartritis. [documento ubicado en el Centro de Reumatología]. La Habana. Hospital Clínico Quirúrgico Docente 10 de Octubre. 2013 [citado el 3 de junio de 2013]. Disponible en: Archivos médicos del Centro de Reumatología.




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