Rheumatology conditions for consideration of referral for an opinion, advice or MMC led care.
For women requiring MMC led care they are often managed in the specialist joint Rheumatology/Obstetric antenatal clinic on Wednesday afternoons at the RVI
Lead Maternal Medicine Obstetrician- Dr M Smith
Respiratory & Obstetric Physician- Dr M Slade & Dr A Mustafa
British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: immunomodulatory anti-rheumatic drugs and corticosteroids- British Society for Rheumatology guideline on prescribing drugs in pregnancy and breastfeeding: immunomodulatory anti-rheumatic drugs and corticosteroids | Rheumatology | Oxford Academic
EULAR recommendations for use of antirheumatic drugs in reproduction, pregnancy, and lactation: 2024 update EULAR recommendations for use of antirheumatic drugs in reproduction, pregnancy, and lactation: 2024 update – ScienceDirect
Patient Information
Pregnancy, fertility and arthritis- Pregnancy, fertility and arthritis | Drugs, breastfeeding and supplements
Pregnancy and parenthood- Pregnancy and parenthood | How to manage with Rheumatoid Arthritis
Lupus and planning a pregnancy- Lupus and planning a pregnancy | Tommy’s
Lupus and pregnancy Contact
| Category A Local expertise | Category B Review, advice and guidance from maternal medicine centre | Category C Care led by maternal medicine centre |
|---|---|---|
| Uncomplicated rheumatoid arthritis | Rheumatological disease requiring biologic therapy | Active Lupus Nephritis |
| Uncomplicated seronegative arthritis -Ankylosing spondylitis -Psoriatic arthritis -Reactive arthritis - IBS related arthritis | Rheumatological disease not controlled on current treatment | Large and medium vessel vasculitis |
| Uncomplicated connective tissue disease - Lupus - -scleroderma (restricted disease) - -Sjogren’s | Rheumatological disease with restrictive lung disease and FVC ≥50% | Rheumatological disease with restrictive lung disease and FVC ≤50% |
| Osteoarthritis | Rheumatological disease with kidney involvement | New small vessel vasculitis or small vessel vasculitis on immunosuppresion |
| Obstetric antiphospholipid syndrome | Thrombotic antiphospholipid syndrome | Vascular Ehlers Danlos |
| Hypermobile Ehlers Danlos (Type III) | Other Ehlers Danlos syndrome | Scleroderma renal crisis |
| Diffuse scleroderma | Antisynthetase syndrome | |
| Small vessel vasculitis in remission, no longer on treatment | ||
| Polymyositis-dermatomyositis Bechet’s syndrome |
