Success in high risk pregnancies

• April 26, 2024

Pregnancies in cases of rheumatoid arthritis , lupus and antiphospholipid syndrome are some of the conditions that are treated with a treatment based on orientation, constant care, prescription of drugs, culture studies, blood and ultrasound, among others.

The Clinic of Pregnancy and Rheumatic Diseases of the Mexican Institute of Social Security (IMSS) receives high risk pregnancies and, thanks to the comprehensive and specialized attention of medical personnel, allows 90% of these to be successful.

From the different second level gynecology hospitals in the country, with different types of ailments - rheumatoid arthritis, systemic lupus erythematosus (SLE) and antiphospholipid syndrome (disease that causes abortion) -, patients arrive for their attention to this clinic, located in the Hospital of Specialties of the National Medical Center (CMN) La Raza.

Dr. Miguel Ángel Saavedra Salinas, head of the rheumatology service of the same hospital, said that this clinic operates with doctors specialized in rheumatology, in coordination with obstetricians and neonatologists, and thanks to the quality offered, it has been possible for lupus to leave of being a contraindication for women to get pregnant; In addition, this specialized service has helped to reduce the risk of serious complications due to this condition.

The specialized care in counseling, constant care, prescription of drugs, culture studies, blood and ultrasound, among others, to observe the development of the baby and the health of the beneficiary, allows success in high-risk pregnancies.

Risks and medical follow-up

The rheumatologist noted that the risk of complications in both mothers and children due to lupus, such as pressure problems, risk of infection, premature birth, low weight of the baby or loss of the baby in the first trimester of pregnancy, have decreased with attention in the Pregnancy Clinic .

As well as the condition in multiple organs: skin, mucous membranes, scalp, joints, kidney, lungs, brain, heart, among others. Lupus is called autoimmune, this refers to the immune system attacks the body's own cells.

Dr. Saavedra Salinas explained that the cause is unknown; However, there are some genetic, environmental and hormonal predisposing factors that can condition the appearance of this disease.

Therefore, it is important that women are under constant medical surveillance, and even more so those who had already had this disease before their pregnancy, since there is a 50% chance that they will relapse during pregnancy.

This is due to the fact that during the development of the baby, in the body of the woman, various hormonal changes occur, which makes them more vulnerable to presenting symptoms of SLE.

However, she stressed, future mothers only need to follow the basic guidelines of care indicated by the specialists so that they and their babies have a satisfactory pregnancy and birth.

Video Medicine: High Risk Pregnancy: Multiples (April 2024).