Baby on Board: The Rheumatologist’s Role in Family Planning for Patients with Lupus

The session concluded with audience members practicing how to use the key question—would you like to become pregnant?—to best prepare to help their patients navigate the complex world of family planning, as well as foster trust and openness in the therapeutic relationship. Given these tools, rheumatologists can feel empowered to help their lupus patients follow their dreams of starting a family, while maintaining the best health possible both in the near future and in years to come.

Jason Liebowitz, MD, completed his fellowship in rheumatology at Johns Hopkins University, Baltimore, where he also earned his MD. He is currently in practice with Arthritis, Rheumatic, & Back Disease Associates, New Jersey.

References

1. Yazdany J, Trupin L, Kaiser R, et al. Contraceptive counseling and use among women with systemic lupus erythematosus: A gap in health care quality? Arthritis Care Res (Hoboken). 2011 Mar;63(3):358–365.
2. Power to Decide, the campaign to prevent unplanned pregnancy. Bedsider.org. 2019.
3. Drugs and Lactation Database (LactMed). 2019. Bethesda, Md: U.S. National Library of Medicine.
4. ACOG Committee Opinion No. 743: Low-dose aspirin use during pregnancy. Obstet Gynecol. 2018 Jul;132(1):e44–e52.
5. Mendel A, Bernatsky SB, Hanly JG, et al. Low aspirin use and high prevalence of pre-eclampsia risk factors among pregnant women in a multinational SLE inception cohort. Ann Rheum Dis. 2019 Jul;78(7):1010–1012.