women s health issues
Autoimmune Disorders During Pregnancy
Rheumatoid Arthritis
 Rheumatoid Arthritis (RA) may develop during pregnancy or, even more often, shortly after delivery. If rheumatoid arthritis is present before pregnancy, it may temporarily subside during pregnancy. This disorder does not affect the fetus directly. However, if arthritis has damaged the hip joints or lower (lumbar) spine, delivery may be difficult for the woman, and cesarean delivery may be needed. The symptoms of rheumatoid arthritis may lessen during pregnancy, but they usually return to their original level after pregnancy. If a flare-up occurs during pregnancy, it is treated withprednisone(a corticosteroid). Ifprednisoneis ineffective, a medication that suppresses the immune system (immunosuppressant) may be used. A flare-up after pregnancy can make it more difficult for women with rheumatoid arthritis to take care of themselves and their infant. 