{"id":175,"date":"2026-06-10T14:42:16","date_gmt":"2026-06-10T13:42:16","guid":{"rendered":"https:\/\/7c71d11735.nxcli.io\/?page_id=175"},"modified":"2026-06-10T14:46:19","modified_gmt":"2026-06-10T13:46:19","slug":"rheumatology","status":"publish","type":"page","link":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/professionals\/rheumatology\/","title":{"rendered":"Rheumatology"},"content":{"rendered":"
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Rheumatology<\/h1><\/div><\/div><\/div><\/div><\/section>
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Rheumatology conditions for consideration of referral for an opinion, advice or MMC led care.<\/p>\n

For women requiring MMC led care they are often managed in the specialist joint Rheumatology\/Obstetric antenatal clinic on Wednesday afternoons at the RVI<\/p>\n

Lead Maternal Medicine Obstetrician- Dr M Smith<\/p>\n

Respiratory & Obstetric Physician- Dr M Slade & Dr A\u00a0 <\/span>Mustafa<\/p>\n<\/div><\/div><\/div><\/div>

Clinical Resources<\/h3>\n

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<\/a><\/p>\n

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<\/a><\/p>\n

Patient Information<\/strong><\/p>\n

Pregnancy, fertility and arthritis- Pregnancy, fertility and arthritis | Drugs, breastfeeding and supplements<\/a><\/p>\n

Pregnancy and parenthood- Pregnancy and parenthood | How to manage with Rheumatoid Arthritis<\/a><\/p>\n

Lupus and planning a pregnancy- Lupus and planning a pregnancy | Tommy’s<\/a><\/p>\n

Lupus and pregnancy Contact<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>

\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
Category A
\nLocal expertise<\/th>		Category B
\nReview, advice and guidance from maternal medicine centre<\/th>		Category C
\nCare led by maternal medicine centre<\/th>\n<\/tr>\n<\/thead>\n
Uncomplicated rheumatoid arthritis<\/td>Rheumatological disease requiring biologic therapy<\/td>Active Lupus Nephritis<\/td>\n<\/tr>\n
Uncomplicated seronegative arthritis
\n-Ankylosing spondylitis
\n-Psoriatic arthritis
\n-Reactive arthritis
\n- IBS related arthritis
\n<\/td>		Rheumatological disease not controlled on current treatment<\/td>Large and medium vessel vasculitis<\/td>\n<\/tr>\n
Uncomplicated connective tissue disease
\n-\tLupus
\n-\t-scleroderma (restricted disease)
\n-\t-Sjogren\u2019s
\n<\/td>		Rheumatological disease with restrictive lung disease and FVC \u226550%<\/td>Rheumatological disease with restrictive lung disease and FVC \u226450%<\/td>\n<\/tr>\n
Osteoarthritis<\/td>Rheumatological disease with kidney involvement<\/td>New small vessel vasculitis or small vessel vasculitis on immunosuppresion<\/td>\n<\/tr>\n
Obstetric antiphospholipid syndrome<\/td>Thrombotic antiphospholipid syndrome<\/td>Vascular Ehlers Danlos<\/td>\n<\/tr>\n
Hypermobile Ehlers Danlos (Type III)<\/td>Other Ehlers Danlos syndrome<\/td>Scleroderma renal crisis<\/td>\n<\/tr>\n
<\/td>Diffuse scleroderma<\/td>Antisynthetase syndrome<\/td>\n<\/tr>\n
<\/td>Small vessel vasculitis in remission, no longer on treatment<\/td><\/td>\n<\/tr>\n
<\/td>Polymyositis-dermatomyositis
\nBechet\u2019s syndrome
\n<\/td>		<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"RheumatologyRheumatology 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\u00a0 Mustafa...","protected":false},"author":1,"featured_media":0,"parent":86,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-175","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/175","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/comments?post=175"}],"version-history":[{"count":3,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/175\/revisions"}],"predecessor-version":[{"id":180,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/175\/revisions\/180"}],"up":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/86"}],"wp:attachment":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/media?parent=175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}