|1||August 2019 (Volume 8, Issue -1)|
|2||SOM Newsletter October 2018|
|3||SOM Newsletter June 2017|
|4||June 2016_Volume 5_Issue 1|
|5||June 2015_Volume 4_Issue 1|
|6||Oct 2014_Volume 3_Issue 1|
|7||Dec 2013_Volume 2_Issue 1|
|8||Sep 2012_Volume 1_Issue 1|
Can We save a woman in a rusted boat with holes, loaded with luggage with torn sails and no oars, left in the sea, heading towards a storm?
Mrs. P, 50 years, G2P1L0
- IVF-ICSI conception with Donor embryo (D5)
- She was referred on 4th July by her primary consultant
INTERPRETATION OF IMMUNOLOGICAL TESTS
- Although autoantibody testing is a useful adjunct to the diagnosis of autoimmune connective tissue disease, the tests have limited specificity
- As a result, the tests will have a low positive predictive value if they are used indiscriminately that is to say,
- if the tests are performed on patients who have little or no real clinical evidence of relevant disease, most of the positive results will be found in patients without disease
Overview of Connective Tissue Disorders
- Heterogeneous group of autoimmune disorders that affect any of the body’s connective tissues.
- Inherited or acquired
- Presents with a wide range of systemic inflammatory and immunological features
Pre pregnancy counselling in lupus- Rheumatologist perspective
- Systemic lupus erythematosus (SLE) is a chronic multisystem autoimmune disease predominantly affecting women, particularly those of childbearing age.
- Pre-pregnancy counselling is the pivotal first step in the management of SLE patients with a wish to become pregnant.
- Pre pregnancy counseling is to prepare patients desiring children for adequate monitoring and management during pregnancy.
Drug Prescription in Pregnancy & Lactation
Health Care Providers (HCPs) and Pregnant women need access to most useful and latest information about their prescription medicines because:
- Most women take at least one medication during pregnancy.
- The use of at least four medications during pregnancy has more than doubled over the last 30 years.
- Many pregnant women have chronic conditions—like asthma, diabetes—that require them to continue taking medications
- New health problems may begin or old ones may get worse during pregnancy, requiring treatment.
- A woman’s body changes throughout her pregnancy, which may affect the medication dose she needs.