{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T23:34:16Z","timestamp":1759448056547},"reference-count":42,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"04","license":[{"start":{"date-parts":[[2018,4,27]],"date-time":"2018-04-27T00:00:00Z","timestamp":1524787200000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>\n            Objective\u2003To review the existing recommendations on the prenatal care of women with systemic lupus erythematosus (SLE), based on currently available scientific evidence.<\/jats:p><jats:p>\n            Methods\u2003An integrative review was performed by two independent researchers, based on the literature available in the MEDLINE (via PubMed), EMBASE and The Cochrane Library databases, using the medical subject headings (MeSH) terms \u201csystemic lupus erythematosus\u201d AND \u201chigh-risk pregnancy\u201d OR \u201cprenatal care.\u201d Studies published in English between 2007 and 2017 were included; experimental studies and case reports were excluded. In cases of disagreement regarding the inclusion of studies, a third senior researcher was consulted. Forty titles were initially identified; four duplicates were excluded. After reading the abstracts, 7 were further excluded and 29 were selected for a full-text evaluation.<\/jats:p><jats:p>\n            Results\u2003Systemic lupus erythematosus flares, preeclampsia, gestation loss, preterm birth, fetal growth restriction and neonatal lupus syndromes (mainly congenital heart-block) were the major complications described. The multidisciplinary team should adopt a specific monitoring, with particular therapeutic protocols. There are safe and effective drug options that should be prescribed for a good control of SLE activity.<\/jats:p><jats:p>\n            Conclusion\u2003Pregnant women with SLE present an increased risk for maternal complications, pregnancy loss and other adverse outcomes. The disease activity may worsen and, thereby, increase the risk of other maternal-fetal complications. Thus, maintaining an adequate control of disease activity and treating flares quickly should be a central goal during prenatal care.<\/jats:p>","DOI":"10.1055\/s-0038-1625951","type":"journal-article","created":{"date-parts":[[2018,4,27]],"date-time":"2018-04-27T22:49:46Z","timestamp":1524869386000},"page":"209-224","source":"Crossref","is-referenced-by-count":20,"title":["A Critical Review on Obstetric Follow-up of Women Affected by Systemic Lupus Erythematosus"],"prefix":"10.61622","volume":"40","author":[{"given":"Danilo Eduardo Abib","family":"Pastore","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Laura","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Angela","family":"Parpinelli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda Garanhani","family":"Surita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2018,4,27]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"78","DOI":"10.7861\/clinmedicine.17-1-78","article-title":"Systemic lupus erythematosus","volume":"17","author":"M F Shaikh","year":"2017","journal-title":"Clin Med (Lond)"},{"key":"ref2","volume-title":"L\u00fapus eritematoso sist\u00eamico","author":"E I 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