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Desire to have children and preferences regarding to pre-pregnancy counselling in women with SLE
OBJECTIVES: Pre-pregnancy counselling in women with systemic lupus erythematosus (SLE) is important in order to improve knowledge on the risks of pregnancy and to optimize pregnancy outcomes. Knowledge on the preferences of women with SLE regarding pre-pregnancy counselling have not yet been studied...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8489423/ https://www.ncbi.nlm.nih.gov/pubmed/33241288 http://dx.doi.org/10.1093/rheumatology/keaa684 |
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author | Blomjous, Birgit S Johanna I P, de Vries Zijlstra, , Eveline Cramer, , Kyra Voskuyl, , Alexandre E Bultink, and Irene E M |
author_facet | Blomjous, Birgit S Johanna I P, de Vries Zijlstra, , Eveline Cramer, , Kyra Voskuyl, , Alexandre E Bultink, and Irene E M |
author_sort | Blomjous, Birgit S |
collection | PubMed |
description | OBJECTIVES: Pre-pregnancy counselling in women with systemic lupus erythematosus (SLE) is important in order to improve knowledge on the risks of pregnancy and to optimize pregnancy outcomes. Knowledge on the preferences of women with SLE regarding pre-pregnancy counselling have not yet been studied. In a closely monitored cohort of women with SLE we enquired about the present status of their wish to have children, and wish for and experiences with pre-pregnancy counselling. METHODS: A questionnaire developed by physicians in collaboration with two women with SLE was sent to all (n = 177) women participating in the Amsterdam SLE cohort. The questionnaire comprised 32 items, of which 15 focused on the above-mentioned three themes. RESULTS: A total of 124 women (70%) returned the questionnaire. The median disease duration was 13 years (interquartile range 9–19). Childlessness occurred in 51 women and 31% declared this was due to SLE [conscious decision (21%), stringent medical advice (6%), infertility due to medication (4%)]. Half of the women preferred the first pre-pregnancy counselling immediately after the SLE diagnosis (53%), together with their partner (69%). Information given by healthcare providers (81%) was preferred over information provided via brochures (35%) or the internet (26%). Pre-pregnancy face-to-face counselling from a rheumatologist and/or gynaecologist separately was preferred in 54%. CONCLUSION: One-third of women attributed their childlessness to SLE-related reasons. Pre-pregnancy counselling was preferred shortly after the onset of the disease in a non-multidisciplinary setting. The results of this study underline the importance of timely pre-conceptional counselling by healthcare providers on fertility, risks and pregnancy outcomes in women with SLE. |
format | Online Article Text |
id | pubmed-8489423 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-84894232021-10-05 Desire to have children and preferences regarding to pre-pregnancy counselling in women with SLE Blomjous, Birgit S Johanna I P, de Vries Zijlstra, , Eveline Cramer, , Kyra Voskuyl, , Alexandre E Bultink, and Irene E M Rheumatology (Oxford) Clinical Science OBJECTIVES: Pre-pregnancy counselling in women with systemic lupus erythematosus (SLE) is important in order to improve knowledge on the risks of pregnancy and to optimize pregnancy outcomes. Knowledge on the preferences of women with SLE regarding pre-pregnancy counselling have not yet been studied. In a closely monitored cohort of women with SLE we enquired about the present status of their wish to have children, and wish for and experiences with pre-pregnancy counselling. METHODS: A questionnaire developed by physicians in collaboration with two women with SLE was sent to all (n = 177) women participating in the Amsterdam SLE cohort. The questionnaire comprised 32 items, of which 15 focused on the above-mentioned three themes. RESULTS: A total of 124 women (70%) returned the questionnaire. The median disease duration was 13 years (interquartile range 9–19). Childlessness occurred in 51 women and 31% declared this was due to SLE [conscious decision (21%), stringent medical advice (6%), infertility due to medication (4%)]. Half of the women preferred the first pre-pregnancy counselling immediately after the SLE diagnosis (53%), together with their partner (69%). Information given by healthcare providers (81%) was preferred over information provided via brochures (35%) or the internet (26%). Pre-pregnancy face-to-face counselling from a rheumatologist and/or gynaecologist separately was preferred in 54%. CONCLUSION: One-third of women attributed their childlessness to SLE-related reasons. Pre-pregnancy counselling was preferred shortly after the onset of the disease in a non-multidisciplinary setting. The results of this study underline the importance of timely pre-conceptional counselling by healthcare providers on fertility, risks and pregnancy outcomes in women with SLE. Oxford University Press 2020-11-25 /pmc/articles/PMC8489423/ /pubmed/33241288 http://dx.doi.org/10.1093/rheumatology/keaa684 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the British Society for Rheumatology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Clinical Science Blomjous, Birgit S Johanna I P, de Vries Zijlstra, , Eveline Cramer, , Kyra Voskuyl, , Alexandre E Bultink, and Irene E M Desire to have children and preferences regarding to pre-pregnancy counselling in women with SLE |
title | Desire to have children and preferences regarding to pre-pregnancy counselling in women with SLE |
title_full | Desire to have children and preferences regarding to pre-pregnancy counselling in women with SLE |
title_fullStr | Desire to have children and preferences regarding to pre-pregnancy counselling in women with SLE |
title_full_unstemmed | Desire to have children and preferences regarding to pre-pregnancy counselling in women with SLE |
title_short | Desire to have children and preferences regarding to pre-pregnancy counselling in women with SLE |
title_sort | desire to have children and preferences regarding to pre-pregnancy counselling in women with sle |
topic | Clinical Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8489423/ https://www.ncbi.nlm.nih.gov/pubmed/33241288 http://dx.doi.org/10.1093/rheumatology/keaa684 |
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