Rheumatoid arthritis may lead to fetal arrest, but in most cases the pregnancy can be completed safely by stabilizing the disease, stopping the use of medication that affects the pregnancy before the pregnancy, and following the doctor’s instructions for regular follow-up.
When rheumatoid arthritis is active, the levels of inflammatory factors in the body are abnormal, and the disease can cause varying degrees of interstitial pneumonia, myocarditis, and anemia, which can lead to adverse events such as fetal arrest and miscarriage, but pregnancy after the disease has been stabilized and controlled can reduce the risk of these outcomes.
Some medications used to treat rheumatoid arthritis, such as methotrexate and leflunomide, carry a risk of teratogenicity and miscarriage, and should be discontinued before pregnancy to avoid adverse outcomes.
During pregnancy with rheumatoid arthritis, regular visits to rheumatology and obstetrics should be made to assess the condition of rheumatoid arthritis and the condition of the mother and fetus in order to ensure the successful completion of the pregnancy.
In conclusion, patients with rheumatoid arthritis should have a doctor-advised pregnancy and visit the hospital regularly for follow-up.