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Subgroups of women have an increased risk of organ involvement, especially interstitial lung disease, pulmonary arterial hypertension and renal crises. Pregnancy increases the risk to the mother, especially those with established organ involvement, but also the development of new organ dysfunction; and risks to the fetus. Optimising these women prior to conception, along with careful management and surveillance during pregnancy, is vital for optimising pregnancy outcome. Women with scleroderma need to be managed in a specialised centre with coordinated care from the multi-disciplinary teams including physicians, obstetricians, anaesthetists, neonatologists and midwives. This review aims to describe the risks associated with systemic sclerosis and pregnancy, with management advice for physicians looking after pregnant women with this chronic condition. <\/jats:p>","DOI":"10.1177\/1753495x19878042","type":"journal-article","created":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T13:24:26Z","timestamp":1572441866000},"page":"105-111","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Systemic sclerosis in pregnancy"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5926-3900","authenticated-orcid":false,"given":"Kristina EN","family":"Clark","sequence":"first","affiliation":[{"name":"Centre of Rheumatology and Connective Tissue Diseases, UCL Royal Free Medical School, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oseme","family":"Etomi","sequence":"additional","affiliation":[{"name":"Department of 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