How Rheumatoid Arthritis Affects Pregnancy
Rheumatoid arthritis (RA) is a chronic inflammatory disease that can affect the joints, skin, eyes, and other organs. While RA can affect women of all ages, it is most common in women between the ages of 30 and 50. RA can also affect pregnancy, but with proper management, most women with RA can have a healthy pregnancy.
How RA affects pregnancy
- Increased risk of preterm birth and low birth weight: Women with RA are at an increased risk of delivering their baby prematurely (before 37 weeks of gestation) and of having a low birth weight baby (less than 5 pounds, 8 ounces). This is because RA can cause inflammation in the placenta, which can disrupt the flow of oxygen and nutrients to the baby.
- Flares: RA symptoms can often worsen during pregnancy, especially in the third trimester. This is because the hormones of pregnancy can cause the immune system to become more active. Flares can cause pain, swelling, and stiffness in the joints, as well as fatigue and weakness.
- Medications: Many of the medications used to treat RA can be harmful to a developing fetus. Therefore, it is important for women with RA to talk to their doctor about their medication plan before becoming pregnant. Some medications may need to be stopped or reduced during pregnancy.
Managing RA during pregnancy
Despite the challenges, most women with RA can have a healthy pregnancy with proper management. Here are some tips for managing RA during pregnancy:
1. Work with your doctor to develop a pregnancy plan. Your doctor can help you monitor your RA and adjust your treatment plan as needed.
2. Take your medications as prescribed. Even if your RA symptoms are well-controlled, it is important to continue taking your medications as prescribed. Stopping your medications could increase your risk of having a flare.
3. Get regular exercise. Exercise can help to improve your RA symptoms and overall health. Talk to your doctor about what exercises are safe for you during pregnancy.
4. Eat a healthy diet. Eating a healthy diet can help to improve your overall health and reduce your risk of developing gestational diabetes and other pregnancy complications.
5. Get enough sleep. Getting enough sleep can help to reduce your RA symptoms and improve your overall health.
6. Manage stress. Stress can worsen RA symptoms. Find healthy ways to manage stress, such as exercise, yoga, or meditation.
7. Join a support group. Talking to other women with RA can help you to feel supported and less alone.