{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:36:18Z","timestamp":1790757378972,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T00:00:00Z","timestamp":1729123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>At Women &amp; Infants Hospital in Providence, Rhode Island, the Specialty Care in Pregnancy clinic combines obstetric\u2010medicine internists with rheumatologists to care for pregnant patients with rheumatologic conditions. These clinics are scarce, with only three known similar clinics in the United States. This study aims to characterize the population cared for in this clinic, identify interventions, and analyze pregnancy outcomes for the birthing parents and newborns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A five\u2010year retrospective chart review was performed from January 1st, 2016, through December 31st, 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 81 patients, 62% had a clinically diagnosed rheumatic disorder. Of 87 patient visits, which included preconception, prenatal, and postpartum encounters, 54% of patients were taking conventional synthetic disease modifying antirheumatic drugs, and 17% were taking biologic disease modifying antirheumatic drugs. New medications were started in 52% of patients. A total of 52% of pregnancies resulted in live births, with 2% resulting in miscarriages. Prematurity occurred in 19% of newborns, and 9% had intrauterine growth restriction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study illustrates the benefits of multidisciplinary care in patients with rheumatologic disorders during their prenatal and perinatal periods. The expertise from both the obstetric\u2010medicine internists and rheumatologists was critical in making complex decisions that weighed the benefits of therapy against potential risks for the fetus. Our multidisciplinary approach resulted in doubling of the number of patients initiating disease modifying therapy and increased prophylaxis with hydroxychloroquine and\/or aspirin therapy, as recommended by current guidelines. Additional multidisciplinary clinics of this type would help coordinate care among physicians who frequently treat these high\u2010risk, unique patients and open the door for more research of this understudied population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.25425","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T00:15:10Z","timestamp":1725408910000},"page":"1744-1750","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Pregnancy Outcomes from a Multidisciplinary Obstetric\u2010Medicine\/Rheumatology Clinic in the United States: A Five\u2010Year Retrospective Analysis"],"prefix":"10.1002","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6151-8845","authenticated-orcid":false,"given":"Griffin","family":"Reed","sequence":"first","affiliation":[{"name":"Rhode Island Hospital Warren Alpert Medical School of Brown University  Providence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mery","family":"Deeb","sequence":"additional","affiliation":[{"name":"Kent Hospital, Warren Alpert Medical School of Brown University  Warwick Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Mathew","sequence":"additional","affiliation":[{"name":"Rhode Island Hospital Warren Alpert Medical School of Brown University  Providence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Rigby","sequence":"additional","affiliation":[{"name":"Dartmouth Hitchcock Medical Center  Lebanon New Hampshire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Cravens","sequence":"additional","affiliation":[{"name":"Rhode Island Hospital Warren Alpert Medical School of Brown University  Providence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Raker","sequence":"additional","affiliation":[{"name":"Lifespan Biostatistics, Epidemiology Research Design and Informatics Core  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadi","family":"Jafari\u2010Esfahani","sequence":"additional","affiliation":[{"name":"Rhode Island Hospital Warren Alpert Medical School of Brown University  Providence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony M.","family":"Reginato","sequence":"additional","affiliation":[{"name":"Rhode Island Hospital Warren Alpert Medical School of Brown University  Providence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gofran","family":"Tarabulsi","sequence":"additional","affiliation":[{"name":"Women &amp; Infants Hospital of Rhode Island and Rhode Island Hospital Warren Alpert Medical School of Brown University  Providence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne S.","family":"Cunha","sequence":"additional","affiliation":[{"name":"Rhode Island Hospital Warren Alpert Medical School of Brown University  Providence"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.03.012"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2165\/11596240-000000000-00000"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0897.1992.tb00801.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/rap\/rkac026"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.41191"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2020-219547"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2007.01.002"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.40508"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2022-002752"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-022-06436-0"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.8551"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198807283190401"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2011.12.002"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-1884"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000437382.03963.88"}],"container-title":["Arthritis Care &amp; 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