Vasculitis and Pregnancy: Disease State and Management

Rheum Dis Clin North Am. 2023 Aug;49(3):679-694. doi: 10.1016/j.rdc.2023.03.009. Epub 2023 Apr 15.

Abstract

Family planning in women with vasculitis requires an interdisciplinary approach. This article summarizes recommendations and guidance for each phase of family planning in persons with vasculitis including preconception counseling, birth control, pregnancy, and breastfeeding. Pregnancy complications are presented by category of vasculitis with accompanying diagnostic and therapeutic recommendations. Birth control and assisted reproductive technology options are reviewed with special considerations for women who are high risk or have a history of blood clots. This article can be used as a clinical reference for reproductive discussions in all patients with vasculitis.

Keywords: Birth control; Preconception counseling; Pregnancy; Vasculitis; Women’s health.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Counseling*
  • Female
  • Humans
  • Preconception Care
  • Pregnancy
  • Vasculitis* / diagnosis
  • Vasculitis* / therapy