Arthritis Care Res (Hoboken) 2020 Apr
2020 American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases.
Related Questions
New answer by at University of Chicago (November 3, 2023)
I frequently administer Rituximab to pregnant patients with SLE, Sjogrens, Myositis, RA, and AAV in the first trimester. The passage of large monoclonal antibodies is very low...
Does the recommendation change based on the DMARD?
New answer by at University of Chicago (December 8, 2024)
This question needs some clarification to provide an exact answer. However, in regards to DMARDs in lactation, per the ACR 2020 Reproductive Health Guidelines and resources li...
New comment by at The Mass General Porphyria Center ( October 31, 2025)
Thanks for this answer! I personally do not continue aspirin postpartum once the placenta is out. Just LMWH for DVT prophylaxis.
Would concomitant use of a DOAC ease any concerns?
New answer by at Uniformed Services University of the Health Sciences (USUHS) (December 14, 2025)
Per the most recent reproductive guidelines (Sammaritano et al., PMID 32090466), I'd only recommend IUD (tx of choice) or progestin-only pill. I would lean toward the IUD sinc...