According to Dr. Birru Talabi, patient-centered medical care means rheumatologists should center on the patients’ goals and preferences related to reproduction. In some cases, this approach may mean a patient may choose pregnancy during a time of active inflammatory arthritis.5
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“We have to be able to meet patients where they are,” says Dr. Birru Talabi.
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Dr. Birru Talabi concludes that although some of the findings from the study may be concerning, her research identified factors that—with intentional and patient-centered choices—can be improved.
“We have so much to do in terms of gaining patient trust about medication safety,” says Dr. Birru Talabi. “What excites me as a clinician and a researcher is that we can change this.”
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Lara C. Pullen, PhD, is a medical writer based in the Chicago area.
- Talabi MB, Eudy AM, Jayasundra M, et al. Tough choices: Exploring medication decision-making during pregnancy and lactation among women with inflammatory arthritis. ACR Open Rheumatol. 2021 Jul;3(7):475–483.
- Desai RJ, Huybrechts KF, Bateman BT, et al. Brief report: Patterns and secular trends in use of immunomodulatory agents during pregnancy in women with rheumatologic conditions. Arthritis Rheumatol. 2016 May;68(5):1183–1189.
- Talabi MB, Clowse MEB. Antirheumatic medications in pregnancy and breastfeeding. Curr Opin Rheumatol. 2020 May;32(3):238–246.
- LR Sammaritano, BL Bermas, EE Chakravarty, et al. 2020 American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases. Arthritis Rheumatol. 2020 Apr;72(4):529-556.
- Talabi MB, Clowse MEB, Schwarz EB, et al. Family planning counseling for women with rheumatic diseases. Arthritis Care Res (Hoboken). 2018 Feb;70(2):169–174.
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