If you have lupus and are considering pregnancy, there’s good news: with planning, care, and the right medical support, many women with lupus can experience a safe and healthy pregnancy.
Lupus may add some unique challenges to the journey, but being informed and proactive can make a big difference.
Here’s a helpful guide to get you started, but please consult with your doctor as this is not medical advice:
Can You Get Pregnant If You Have Lupus?
Lupus doesn’t directly cause infertility, and most women with lupus can get pregnant. However, managing lupus well before pregnancy is essential.
Experts recommend that you wait until the disease has been inactive for at least six months to lower the risk of complications.
Is Pregnancy Safe for Women with Lupus?
Yes, with planning and proper care, most women with lupus can have a safe pregnancy.
Waiting until lupus is inactive and working closely with a healthcare team helps minimize risks.
Planning for Pregnancy with Lupus
To plan for a safe pregnancy with lupus, it’s essential to take a few key steps:
Wait for a Stable Period
A stable, inactive period of at least six months is ideal before trying to conceive.This minimizes the chances of lupus flares or other complications during pregnancy.
Waiting to conceive until your lupus is under control can improve both your health and the baby's.
Talk to Your Doctor
Working closely with a healthcare team is crucial. Your rheumatologist and a high-risk obstetrician can guide you through any adjustments in medications and monitor your health throughout pregnancy.
What Are the Risks of Lupus and Pregnancy?
While many women with lupus have healthy pregnancies, there are some risks to be aware of:
Lupus Flares
Some women experience mild flares, especially during the first trimester or after delivery. Regular check-ins with your medical team can help manage symptoms if they arise.
Preeclampsia
Preeclampsia, a condition marked by high blood pressure and potential damage to organs like the liver and kidneys, is more common in women with lupus. Regular blood pressure monitoring can help catch signs early.
Blood Clots and Other Complications
Lupus can increase the risk of blood clots, which are dangerous during pregnancy.Your doctor might recommend blood-thinning medications to help reduce this risk.
Other potential complications include low birth weight, premature delivery, and bleeding after birth.
Tips for Managing Lupus During Pregnancy
Here are some practical tips to help manage lupus while pregnant:
- Attend All Your Check-Ups: Regular appointments help monitor both your health and the baby’s, ensuring any issues are addressed early.
- Stay on Approved Medications: Don’t stop taking medication without consulting your doctor. Certain medications, like hydroxychloroquine, can be essential to maintaining stability.
- Listen to Your Body: Pregnancy can be exhausting, so rest when you need it and try to minimize stress, which can sometimes trigger lupus symptoms.
Can I Experience a Lupus Flare During Pregnancy?
Yes, some women experience mild flares, especially in the early stages of pregnancy or postpartum.
Staying on your approved medication and having regular check-ups can help manage symptoms.
Does Lupus Affect the Baby?
Babies born to mothers with lupus are usually healthy. However, there may be a risk of low birth weight or premature delivery.
Having a high-risk obstetrician on your team helps monitor the baby’s health throughout pregnancy.
The Bottom Line on Lupus and Pregnancy
Pregnancy with lupus may come with unique challenges, but many women have healthy pregnancies and babies with the right preparation.
Working closely with a healthcare team, planning for a stable period, and adjusting medications if necessary can make this journey smoother.
Remember, every pregnancy is different, so listen to your body, seek support, and stay proactive about your health.
If you’re ready to start this journey, connect with your healthcare providers and make a plan that works for you and your growing family!