Ankylosing Spondylitis and Pregnancy: What to Expect

Pregnancy with ankylosing spondylitis (AS) can be a challenging but rewarding experience. With proper care and management, most women with AS are able to have a safe and healthy pregnancy.

Here's what to expect during pregnancy with AS:

1. Disease activity: AS activity may improve, worsen, or stay the same during pregnancy. In general, AS activity tends to improve during the second and third trimesters, but it can flare up after delivery.

2. Medications: Some AS medications, such as non-steroidal anti-inflammatory drugs (NSAIDs) and disease-modifying antirheumatic drugs (DMARDs), may need to be adjusted or discontinued during pregnancy. Your doctor will work with you to determine the safest and most effective treatment plan for you and your baby.

3. Physical therapy: Physical therapy can help to reduce pain and stiffness, improve posture, and maintain mobility during pregnancy. Your physical therapist will design a personalized exercise program that is safe for you and your baby.

4. Lifestyle modifications: Making some healthy lifestyle modifications, such as eating a nutritious diet, getting regular exercise, and getting enough sleep, can help to manage AS symptoms and improve overall well-being during pregnancy.

5. Labor and delivery: Most women with AS are able to have a vaginal delivery. However, if your AS is severe, you may need to have a cesarean section. Your doctor will discuss the best delivery method for you based on your individual circumstances.

6. Postpartum care: After delivery, it is important to continue to manage your AS and take care of yourself. Your doctor will work with you to develop a postpartum care plan that is right for you.

Remember, every pregnancy is unique. Talk to your doctor about your specific concerns and expectations to ensure the safest and healthiest pregnancy possible.