{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:38:46Z","timestamp":1789151926845,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,11,11]],"date-time":"2019-11-11T00:00:00Z","timestamp":1573430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To evaluate obstetrical and perinatal outcomes of pregnancies with ankylosing spondylitis (AS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study evaluating obstetric outcomes of 52 patients with AS who were followed up at our institution between 2006 and 2019. Patients were classified as having disease greater than or less than 5\u00a0years, and according to disease\u2010related medical treatment during pregnancy, as drug free, single medication or multiple medication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall rates of preterm delivery, intrauterine growth retardation and preeclampsia were 17.3%, 13.4% and 7.7%, respectively. Thirty\u2010three of the patients were followed up without any medication, while 19 patients used drugs during pregnancy. Seven patients used a single drug and 12 patients had multiple drugs. There was no significant difference in terms of obstetrical and neonatal outcomes. However, a higher rate of neonatal intensive care unit (NICU) admission was observed in the group using medication for AS, despite a lack of statistical significance (31.5% vs 15%,<jats:italic>P<\/jats:italic>= .162). On the other hand, patients having disease more than 5\u00a0years had higher rates of Apgar scores less than &lt;7 and admission to the NICU despite a lack of statistical significance (4% vs 7.4% and 16% vs 26%;<jats:italic>P<\/jats:italic>= .267 and<jats:italic>P<\/jats:italic>= .297, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In conclusion, pregnancies of patients with AS must be considered as high risk due to increased rates of adverse outcomes such as preterm delivery, intrauterine growth retardation or preeclampsia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.13746","type":"journal-article","created":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T02:48:06Z","timestamp":1573526886000},"page":"101-105","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Retrospective evaluation of pregnancies with ankylosing spondylitis in a tertiary center in Turkey"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0881-2831","authenticated-orcid":false,"given":"Canan","family":"Unal","sequence":"first","affiliation":[{"name":"Division of Perinatology Department of Obstetrics and Gynecology Hacettepe University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erdem","family":"Fadiloglu","sequence":"additional","affiliation":[{"name":"Division of Perinatology Department of Obstetrics and Gynecology Hacettepe University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atakan","family":"Tanacan","sequence":"additional","affiliation":[{"name":"Division of Perinatology Department of Obstetrics and Gynecology Hacettepe University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onur Can","family":"Zaim","sequence":"additional","affiliation":[{"name":"Division of Perinatology Department of Obstetrics and Gynecology 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