AB0814 PREGNANCY COURSE ASSESSMENT IN PATIENTS WITH RHEUMATIC DISEASES COMPARED TO CONTROLS

Background: Rheumatic diseases such as rheumatoid arthritis (RA) and spondyloarthritis (SA) may occur among women of childbearing age. Adverse events during pregnancy including disease flare, preterm delivery, neonatal or fetal death have been reported. Objectives: Our aim was to assess the impact rheumatic on course pregnancy. Methods: We conducted a cross-sectional study involving patients with RA (2010 ACR/EULAR criteria) SA (2009 ASAS (study group) well healthy controls (control matched by age gender. All included had at least one Data were collected through telephonic interviews. used Student t test compare group control group. Results: enrolled 57 (30 27 SA) controls. The mean in groups respectively 43.2 ± 8.2 years [26-48] 37.5 6 years. chronic inflammatory rheumatisms duration 13.81 6.2 A history primary sterility found 3 (1 2 none first significantly higher (28 versus 24 7 (p=0.01). Eight (5 spontaneous miscarriage. terminated noted SA). Complications gestational diabetes (0.3%), premature delivery (0.3), rupture membranes abortion threat (0.3%) pre-eclampsia (6%). Pregnancy more associated complications (p=0.05). Cesarean section 9 group; p= 0.00). main indications cesarean macrosomia (11 patients), scar uterus (6 sacroiliitis (4 twin (2 undetermined reasons patients). Fetal presentation seat (3%), top (4%), face (2%), forehead no significant difference childbirth hemorrhage (10.3%), cord widening (6.6%), perinatal asphyxia (4.9%), dystocia (1.9%). However, statistically differences between two prevalence childbirth. During pregnancy, 5 salazopyrine, corticosteroids and, 1 non-steroidal anti-inflammatories. Conclusion: showed that pregnancies increased risk having maternal adverse outcomes. Disclosure Interests: None declared