RA and Pregnancy: The Facts About Conceiving
Managing RA Flares During Pregnancy continued...
None of this means that a women with RA is necessarily considered high-risk, she says. “The pregnancy can be followed by a regular obstetrician," Amin says. "However, if the obstetrician is uncomfortable with medications, a woman may wish to be followed by a high-risk obstetrician."
Many pregnant women with RA work closely with both their obstetrician and their rheumatologist to manage their pregnancy. “If the obstetrician isn’t sure if it’s a flare or not a flare, they can consult with the rheumatologist,” says Manju Monga, MD, the Berel Held Professor and the division director of maternal-fetal medicine at the University of Texas.
Some issues may arise, but they can usually be dealt with in advance, she says. For example, the use of an epidural during delivery may pose a problem for women whose RA affects their spine, Monga says. “This is rare, but it is a good idea to consult with an anesthesiologist in the event that they need a general anesthesia instead of a spinal,” she says.
All in all, the prognosis is good, Monga says. “In general, patients with RA do really well with pregnancy,” she says.