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Pregnancy and Childbirth: The answers

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Anti-phospholipid syndrome and pregnancy loss

Antiphospholipid syndrome is not only responsible for early pregnancy loss. Fetal loss can occur in mid-trimester and sometimes late, causing stillbirth. This is why some experts advocate that treatment is maintained throughout the course of the pregnancy. There is, however, no consensus among experts whether that is necessary. The current practice in most centers is to treat right through until delivery.

 

SLE and pregnancy

 

Other effects of SLE on the baby

With anti-phospholipid syndrome associated with SLE; apart from the risk of pregnancy loss, the fetus may be affected by other antibodies that are found in people with SLE. Some babies are born with serious cardiac problems that could occasionally be fatal. There is no known way of preventing this from happening. Mercifully, this is quite uncommon. This phenomenon is unique to SLE sufferers and not the other forms of anti-phospholipid syndrome.

 

In managing SLE, steroids are used as well. These are maintained for several weeks after delivery.

 

It is important that any pregnant woman affected by this condition is given as much detail about it as is practicable, so she can understand the potential problems and the possible implications and solutions.

 

Steroids and breast-feeding

With the use of steroids in SLE which continue post-delivery, many affected women worry about the potential effect on breast-feeding. They need not worry. It is perfectly safe to do so.

 

Anti-phospholipid syndrome and the baby

A mother will not pass on this condition to her new-born. It is not a heritable condition.