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Pregnancy outcomes, fertility, and family planning in women with psoriatic arthritis

机译:妊娠结局,生育和妇女与银屑病关节炎的计划生育

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Objective To quantify pregnancy outcomes and the frequency and cause of infertility among women with psoriatic arthritis. Methods Women with psoriatic arthritis aged 20-50 years completed a questionnaire about prior pregnancies, infertility, and family planning. Patient-reported pregnancy outcomes were validated by chart review. Results In 40 women with psoriatic arthritis, 67% of 70 pregnancies were live births. Patient-reported preterm birth and preeclampsia were more common after psoriatic arthritis diagnosis but were significantly over-reported. Most women reported no or mild joint pain during pregnancy and few took medications for psoriatic arthritis. Infertility was reported by 36% of women who were ever pregnant or ever tried to become pregnant, primarily due to polycystic ovary syndrome. Conclusion The patient-reported pregnancy outcomes in this retrospective survey were not supported by chart review, making prospective studies essential to understand the interaction of psoriatic arthritis and pregnancy. Infertility, particularly due to polycystic ovary syndrome, appears to be an important issue in this population.
机译:目的旨在量化妊娠结局,患有银屑病关节炎妇女不孕症的频率和原因。方法患有20-50岁的银屑病关节炎的妇女完成了关于先前怀孕,不孕症和计划生育的问卷。患者报告的妊娠结局是通过图表审查验证的。结果40名患有银屑病关节炎的女性,70%的怀孕中的67%是活产。患者报道的早产和预坦克西亚在银屑病关节炎诊断后更常见,但被显着过度报道。大多数女性报告妊娠期间没有或温和的关节疼痛,很少服用银屑病关节炎的药物。 36%的妇女报告不孕症,曾经怀孕或曾经试图怀孕,主要是由于多囊卵巢综合征。结论图表审查不支持患者报告的患者报告的妊娠结果,使得前瞻性研究是为了了解银屑病关节炎和怀孕的相互作用。不孕症,特别是由于多囊卵巢综合征,似乎是这群人群的重要问题。

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