Talk:Lupus and pregnancy

Medicine Low‑importance

	Medicine portal This article is within the scope of WikiProject Medicine, which recommends that medicine-related articles follow the Manual of Style for medicine-related articles and that biomedical information in any article use high-quality medical sources. Please visit the project page for details or ask questions at Wikipedia talk:WikiProject Medicine.MedicineWikipedia:WikiProject MedicineTemplate:WikiProject Medicinemedicine articles
Low	This article has been rated as Low-importance on the project's importance scale.

Women's Health

	This article is within the scope of WikiProject Women's Health, a collaborative effort to improve the coverage of Women's Health on Wikipedia. If you would like to participate, please visit the project page, where you can join the discussion and see a list of open tasks.Women's HealthWikipedia:WikiProject Women's HealthTemplate:WikiProject Women's Healthwomen's health articles
???	This article has not yet received a rating on the importance scale.

Miscellaneous section

I moved the following section to here, because it is clearly wp:Miscellaneous. For reinsertion, I think it needs some kind of clarification why this is important for the topic of SLE and pregnancy rather than for an individual case. Mikael Häggström (talk) 13:04, 18 July 2013 (UTC)[reply]

Miscellaneous

In April 2013 a case of a pregnant woman with SLE and lupus nephritis caught the attention of Amnesty International. The women in El Salvador had requested an abortion, and Amnesty international supported her in this, considering the abortion a "life saving treatment".^[1]. The woman eventually delivered her child by Cesarean section.

^ "Urgent Action - woman denied life saving medical intervention" (PDF). 2013. Retrieved 2013-07-17. {{cite web}}: Unknown parameter |month= ignored (help)

Annals of Internal Medicine 2015

Buyon JP, Kim MY, Guerra MM, et al.
Original Research: Predictors of Pregnancy Outcomes in Patients With Lupus: A Cohort Study
http://annals.org/article.aspx?articleid=2337277
Ann Intern Med. Published online 23 June 2015 doi:10.7326/M14-2235

Hahn BH
Editorial: Pregnancy in Women With Systemic Lupus Erythematosus: Messages for the Clinician
http://annals.org/article.aspx?articleID=2337279
Ann Intern Med. Published online 23 June 2015 doi:10.7326/M15-1301

Among 385 pregnancies, 5% ended in fetal or neonatal death. 19% had a bad outcome, as they defined it. Significantly worse for hispanic and black women. They are high-risk pregnancies, and require a high-risk obstetrician. SLE must be tightly controlled, with non-teratogenic drugs. --Nbauman (talk) 21:30, 7 July 2015 (UTC)[reply]

NIAMS Handout

That National Institute of Arthritis and Musculoskeletal and Skin Diseases handout is pretty lame. They explain things well (on a 14-year-old reading level), but the content leaves a lot out.

For example, under contraception, they only mention birth control pills. Every GYN I've ever spoken to, and every study I've ever read, says that when you must not get pregnant (for example, medical students), the most reliable contraceptives are the loop and implants. There was an article about that in JAMA Dermatology this week.

Most significantly, they don't give citations to their statements. For example, what is the study of rituximab they're referring to? You'll have to guess. --Nbauman (talk) 15:18, 12 July 2015 (UTC)[reply]

Lancet 2014

The following article has an excellent section on pregnancy:
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960128-8/abstract
Lisnevskaia L, Murphy G, Isenberg D
Seminar: Systemic lupus erythematosus
The Lancet, May 30, 2014, doi:10.1016/S0140-6736(14)60128-8

The Lancet describes much more directly than this Wikipedia entry the risks -- such as pre-eclampsia, kidney failure, and neonatal lupus syndrome. They also describe much more directly the strategies for managing pregnancy.
I don't think that thefreedictionary.com is a WP:RS. Do you want to reassure people about the risks to their lives, and the lives of their children, using a web site that doesn't even identify an editorial board? --Nbauman (talk) 17:40, 12 July 2015 (UTC)[reply]

[UA-1] "Urgent Action - woman denied life saving medical intervention" (PDF). 2013. Retrieved 2013-07-17. {{cite web}}: Unknown parameter |month= ignored (help)

[1]