Lupus is an autoimmune condition that can significantly impact a person’s health, especially during pregnancy. It occurs when the immune system mistakenly attacks the body’s own tissues and organs. Common symptoms include joint pain, skin rashes, and issues involving various organs. There are several types of lupus, including systemic lupus erythematosus (SLE), which affects multiple organs, discoid lupus that primarily impacts the skin, subacute cutaneous lupus that is triggered by sunlight, and drug-induced lupus.
Women are more likely than men to develop lupus, and it is particularly prevalent among African American, Asian, Hispanic, and Native American populations.
How to Manage Lupus Naturally During Pregnancy
Currently, there are no established natural treatments for lupus during pregnancy. It is essential to ensure that the disease is in remission and the individual feels well before attempting to conceive. Pregnancies complicated by lupus are considered high-risk, so consulting with a specialized medical team is crucial before, during, and throughout the pregnancy journey.
Typically, about three to six months prior to conception, a rheumatologist may advise discontinuing medications that could potentially affect fetal development. However, if you are on hydroxychloroquine (Plaquenil) or prednisone, your doctor might recommend continuing these as they are deemed low risk for your baby and can help prevent flare-ups.
Women with lupus face several potential complications during pregnancy, including:
- HELLP syndrome
- Preeclampsia
- Antiphospholipid syndrome, which can lead to blood clots and affect placenta function
- Intrauterine growth restrictions
- Impaired kidney function
- Lupus-induced inflammation
- Premature birth
- Miscarriage or fetal death
- Neonatal lupus, which is a rare condition where the baby may develop reversible symptoms, such as skin rashes or liver problems. The most serious risk is congenital heart block, which may require the baby to have a pacemaker.
Given the significant risks associated with pregnancy in individuals with lupus, ongoing consultation with both a rheumatologist and a maternal-fetal medicine specialist is critical. These healthcare providers can monitor and manage symptoms related to pregnancy hypertension, thrombophilia, disease activity, and other complications that may occur. It is important to adhere to all recommended appointments, medications, dietary guidelines, exercise regimens, and rest plans.
While the list of complications may seem overwhelming, advancements in medical technology and improved understanding of lupus have enhanced the chances of having a successful pregnancy. For those considering starting a family, resources such as Make A Mom offer a unique at-home insemination service, providing an option for those navigating fertility challenges.
Additionally, if you’re looking for a sperm donor, Vegas Pregnancy provides free matching services in Las Vegas. For a detailed understanding of how at-home insemination works, check out this guide.
For more information on managing infertility and pregnancy, the American College of Obstetricians and Gynecologists is an excellent resource.
In summary, while lupus can present challenges during pregnancy, with careful management and the right support, many can look forward to a healthy pregnancy journey.