The SPROUT study : A survey on current management practice of reproductive aspects in women of childbearing age with systemic autoimmune rheumatic diseases

Copyright © 2023. Published by Elsevier B.V..

The SPROUT (Survey on reproduction in RheUmaTology) study explored current practice in women of childbearing age with systemic autoimmune rheumatic diseases, investigating the counselling on contraception, the prescription of low dose acetylsalicylic acid (LDASA) to pregnant patients and the management of disease activity in the post-partum period. The SPROUT questionnaire was designed ad hoc and promoted in the three months before the "11th International Conference on Reproduction, Pregnancy and Rheumatic Disease". Between June and August 2021, 121 physicians responded to the survey. Even though 66.8% of the participants declared themselves to be confident in counselling surrounding birth control, only 62.8% of physicians always discuss contraception and family planning with women of childbearing age. Approximately 20% of respondents do not prescribe LDASA to pregnant women with rheumatic diseases, and wide heterogeneity exists in the dose and timing of LDASA prescription. Most respondents (43.8%) restart treatment with biological agents soon after delivery to prevent disease flares, opting for a drug compatible with breastfeeding while 41.3% of physicians continue biologics throughout pregnancy and post-partum. The SPROUT study highlighted the necessity to further foster physicians' education and identified the management of disease activity after delivery as a matter for discussion between all the clinicians involved in the care of pregnant women with rheumatic conditions.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Autoimmunity reviews - 22(2023), 8 vom: 09. Aug., Seite 103376

Sprache:

Englisch

Beteiligte Personen:

Chighizola, Cecilia Beatrice [VerfasserIn]
Clowse, Megan [VerfasserIn]
Meroni, Pier Luigi [VerfasserIn]
Andreoli, Laura [VerfasserIn]
Tincani, Angela [VerfasserIn]
Wallenius, Marianne [VerfasserIn]
Nelson-Piercy, Catherine [VerfasserIn]

Links:

Volltext

Themen:

Contraception
Journal Article
Low dose acetylsalicylic acid
Post-partum period
Pregnancy
Review
Survey
Systemic rheumatic diseases

Anmerkungen:

Date Completed 28.07.2023

Date Revised 28.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.autrev.2023.103376

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358030188