Pregnancy Outcome

Subclinical hypothyroidism is a common diagnosis, present in approximately 3% to 4% of reproductive-age women. Although a mild form of hypothyroidism — defined as elevated thyroid-stimulating hormone with normal free thyroxine levels — the condition has been associated with infertility, increased risk for adverse pregnancy and neonatal outcomes, and possibly with increased risk for neurocognitive deficits in offspring.

Pregnancy outcomes including hypertensive disorders of pregnancy, small-for-gestational-age birth, preterm birth and stillbirth may indicate the development of hypertension 2 to 7 years postpartum, according to a study published in the Journal of the American Heart Association.

Maternal supplementation with n-3 long-chain polyunsaturated fatty acids did not reduce rates of early preterm deliveries, nor did it affect rates of post-term delivery interventions, according to randomized trial results published in The New England Journal of Medicine.

Transgender men who become pregnant are at increased risk for depression and difficulty getting medical care due to a lack of knowledge among health care providers, according to a literature review published in Maturitas.

Women of childbearing age with rheumatic diseases worldwide fail to receive appropriate information about the family planning and pregnancy continuum, according to findings presented at EULAR 2019. Healio Rheumatology took a closer look at the data and sat down with several key opinion leaders for a roundtable discussion to gain deeper understanding of how to resolve these issues.

Transgender men who become pregnant are at increased risk for depression and gender dysphoria; however, getting the proper medical care can be challenging due to a lack of knowledge among health care providers, according to a literature review published in Maturitas.

An observed association between prepregnancy obesity and preterm birth varies based on age and race, with black women less likely to deliver preterm at age 30 years vs. white and Hispanic women, according to a large population-based study.

HILTON HEAD, S.C. — A program developed at Duke University called Healthy Outcomes in Pregnancy with SLE Through Education of Providers, or HOP-STEP, can educate providers and help rheumatologists across the country better care for patients with systemic lupus erythematosus who are, or are seeking to become, pregnant, according to Megan E.B. Clowse, MD, MPH.

Findings from a prospective, multicenter birth cohort study published in JAMA Pediatrics suggested that maternal exposure to fluorinated water during pregnancy is associated with a decrease the IQ scores of children.

A maternal age of 32 years or older is significantly associated with adverse pregnancy outcomes, including the formation of coronary artery lesions, and in cases of a maternal age of 35 years of older, IV immunoglobulin resistance, among offspring with Kawasaki disease, according to data published in Pediatric Rheumatology.