what are the risks of taking arthritis medication while pregnant?

When considering pregnancy while managing arthritis, it's crucial to understand the potential risks associated with taking arthritis medications. In my sources, several key points highlight the importance of discussing medication safety with your rheumatologist before conception and during pregnancy.

Medication Safety and Risks

1. Medication Categories:

   • Some arthritis medications are deemed safe to continue before and during pregnancy, while others may pose risks to the developing fetus.
   • Medications that are not safe during pregnancy can increase the risk of miscarriage or cause harm to the unborn baby.

2. Specific Medications:

   • For instance, methotrexate must be stopped at least three months before trying to conceive due to its potential risks.
   • Certain TNF inhibitors may also need to be discontinued in the later stages of pregnancy.

3. Consultation with Healthcare Professionals:

   • It is vital to consult your rheumatologist as early as possible when planning a pregnancy. They can provide tailored advice regarding which medications to continue, which to stop, and the timing for these changes.
   • Your rheumatologist will work with you to develop a management plan that balances your arthritis control with the safety of your pregnancy.

Risks of Poorly Controlled Arthritis

• If your arthritis is not well controlled, it can lead to complications for both you and your unborn baby. These may include:
  • Increased difficulty in conceiving.
  • Higher chances of requiring a caesarean section.
  • Risks of premature birth or low birth weight.

Importance of Monitoring

• Regular monitoring and adjustments to your treatment plan are essential. This ensures that both your health and the health of your baby are prioritised throughout the pregnancy.
• If you experience an unplanned pregnancy while on medications deemed unsafe, it is crucial to contact your rheumatologist immediately for guidance.

Conclusion

In summary, the risks associated with taking arthritis medication during pregnancy can vary significantly based on the specific medication and the control of your arthritis. It is essential to have open discussions with your healthcare team to ensure a safe and healthy pregnancy. Always seek professional medical advice tailored to your individual circumstances, especially when it comes to medication management during this critical time.