Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2016

Open Access 01-12-2016 | Research article

Reproductive trends in females with inflammatory joint disease

Authors: Marianne Wallenius, Kjell Å. Salvesen, Anne K. Daltveit, Johan F. Skomsvoll

Published in: BMC Pregnancy and Childbirth | Issue 1/2016

Login to get access

Abstract

Background

The study assessed birth trends per decade in offspring of females with inflammatory joint diseases (IJD) compared with women without IJD.

Methods

This retrospective cohort study is based on data from the Medical Birth Registry of Norway from 1967 to 2009. We investigated singleton births in females with IJD (n = 7502) and compared with births from the general population (n = 2 437 110). Four periods were examined: 1967–79, 1980–89, 1990–99 and 2000–09. In the logistic regression analysis adjustments were made for maternal age at delivery and birth order. Odds ratios were obtained for the associations between IJD and birth outcome for each period.

Results

Females with IJD had in average 65 deliveries / year (0.08 % of all births) in the 1970ies and 274 deliveries / year (0.5 % of all births) from 2000 to 2009. Adjusted Odds ratios (aOR) for newborns small for gestational age were 1.5 (95 % CI 1.2, 1.9) in the earliest and 1.1 (95 % CI 0.9, 1.2) in the last period. Correspondingly, for birth weight < 2500 grams aOR decreased from 1.4 (95 % CI 1.0, 1.9) to 1.1 (95 % CI 0.9, 1.4). For preterm birth aOR was 1.1 (95 % CI 0.8, 1.5) in the first and 1.3 (95 % CI (1.1, 1.5) in the last period.

Conclusion

An increasing number of births among females with IJD were observed in the study period. Birth weights of newborns of IJD women approached to birth weights in the general population, but preterm birth remained a problem.
Appendix
Available only for authorised users
Literature
1.
go back to reference Bowden AP, Barrett JH, Fallow W, Silman AJ. Women with inflammatory polyarthritis have babies of lower birth weight. J Rheumatol. 2001;28:355–9.PubMed Bowden AP, Barrett JH, Fallow W, Silman AJ. Women with inflammatory polyarthritis have babies of lower birth weight. J Rheumatol. 2001;28:355–9.PubMed
2.
go back to reference de Man YA, Hazes JM, van der Helm H, Willemsen SP, de Groot CJ, Steegers EA, et al. Association of higher rheumatoid arthritis disease activity during pregnancy with lower birth weight: Results of a national prospective study. Arthritis Rheum. 2009;60:3196–206.CrossRefPubMed de Man YA, Hazes JM, van der Helm H, Willemsen SP, de Groot CJ, Steegers EA, et al. Association of higher rheumatoid arthritis disease activity during pregnancy with lower birth weight: Results of a national prospective study. Arthritis Rheum. 2009;60:3196–206.CrossRefPubMed
3.
go back to reference Norgaard M, Larsson H, Pedersen L, Granath F, Askling J, Kieler H, et al. Rheumatoid arthritis and birth outcomes: a Danish and Swedish nationwide prevalence study. J Intern Med. 2010;268:329–37.CrossRefPubMed Norgaard M, Larsson H, Pedersen L, Granath F, Askling J, Kieler H, et al. Rheumatoid arthritis and birth outcomes: a Danish and Swedish nationwide prevalence study. J Intern Med. 2010;268:329–37.CrossRefPubMed
4.
go back to reference Wallenius M, Skomsvoll JF, Irgens LM, Salvesen KA, Nordvag BY, Koldingsnes W, et al. Pregnancy and delivery in women with chronic inflammatory arthritides with a specific focus on first birth. Arthritis Rheum. 2011;63:1534–42.CrossRefPubMed Wallenius M, Skomsvoll JF, Irgens LM, Salvesen KA, Nordvag BY, Koldingsnes W, et al. Pregnancy and delivery in women with chronic inflammatory arthritides with a specific focus on first birth. Arthritis Rheum. 2011;63:1534–42.CrossRefPubMed
5.
go back to reference Skomsvoll JF, Ostensen M, Irgens LM, Baste V. Perinatal outcome in pregnancies of women with connective tissue disease and inflammatory rheumatic disease in Norway. Scand J Rheumatol. 1999;28:352–6.CrossRefPubMed Skomsvoll JF, Ostensen M, Irgens LM, Baste V. Perinatal outcome in pregnancies of women with connective tissue disease and inflammatory rheumatic disease in Norway. Scand J Rheumatol. 1999;28:352–6.CrossRefPubMed
6.
go back to reference Skomsvoll JF, Ostensen M, Irgens LM, Baste V. Pregnancy complications and delivery practice in women with connective tissue disease and inflammatory rheumatic disease in Norway. Acta Obstet Gynecol Scand. 2000;79:490–5.CrossRefPubMed Skomsvoll JF, Ostensen M, Irgens LM, Baste V. Pregnancy complications and delivery practice in women with connective tissue disease and inflammatory rheumatic disease in Norway. Acta Obstet Gynecol Scand. 2000;79:490–5.CrossRefPubMed
7.
go back to reference Ostensen M. Counselling women with rheumatic disease--how many children are desirable? Scand J Rheumatol. 1991;20:121–6.CrossRefPubMed Ostensen M. Counselling women with rheumatic disease--how many children are desirable? Scand J Rheumatol. 1991;20:121–6.CrossRefPubMed
8.
go back to reference Peterson LS, Mason T, Nelson AM, O'Fallon WM, Gabriel SE. Psychosocial outcomes and health status of adults who have had juvenile rheumatoid arthritis: a controlled, population-based study. Arthritis Rheum. 1997;40:2235–40.CrossRefPubMed Peterson LS, Mason T, Nelson AM, O'Fallon WM, Gabriel SE. Psychosocial outcomes and health status of adults who have had juvenile rheumatoid arthritis: a controlled, population-based study. Arthritis Rheum. 1997;40:2235–40.CrossRefPubMed
9.
go back to reference Irgens LM. The Medical Birth Registry of Norway. Epidemiological research and surveillance throughout 30 years. Acta Obstet Gynecol Scand. 2000;79:435–9.CrossRefPubMed Irgens LM. The Medical Birth Registry of Norway. Epidemiological research and surveillance throughout 30 years. Acta Obstet Gynecol Scand. 2000;79:435–9.CrossRefPubMed
11.
go back to reference Wen SW, Goldenberg RL, Cutter GR, Hoffman HJ, Cliver SP, Davis RO, et al. Smoking, maternal age, fetal growth, and gestational age at delivery. Am J Obstet Gynecol. 1990;162:53–8.CrossRefPubMed Wen SW, Goldenberg RL, Cutter GR, Hoffman HJ, Cliver SP, Davis RO, et al. Smoking, maternal age, fetal growth, and gestational age at delivery. Am J Obstet Gynecol. 1990;162:53–8.CrossRefPubMed
12.
go back to reference Ostensen M, Forger F. Management of RA medications in pregnant patients. Nat Rev Rheumatol. 2009;5:382–90.CrossRefPubMed Ostensen M, Forger F. Management of RA medications in pregnant patients. Nat Rev Rheumatol. 2009;5:382–90.CrossRefPubMed
13.
go back to reference Hari A, Rostom S, Lahlou R, Bahiri R, Hajjaj-Hassouni N. Sexual function in Moroccan women with rheumatoid arthritis and its relationship with disease activity. Clin Rheumatol. 2015;34:1047–51.CrossRefPubMed Hari A, Rostom S, Lahlou R, Bahiri R, Hajjaj-Hassouni N. Sexual function in Moroccan women with rheumatoid arthritis and its relationship with disease activity. Clin Rheumatol. 2015;34:1047–51.CrossRefPubMed
15.
go back to reference Ostensen M. Management of early aggressive rheumatoid arthritis during pregnancy and lactation. Expert Opin Pharmacother. 2009;10:1469–79.CrossRefPubMed Ostensen M. Management of early aggressive rheumatoid arthritis during pregnancy and lactation. Expert Opin Pharmacother. 2009;10:1469–79.CrossRefPubMed
16.
go back to reference Ostensen M, Forger F. Treatment with biologics of pregnant patients with rheumatic diseases. Curr Opin Rheumatol. 2011;23:293–8.CrossRefPubMed Ostensen M, Forger F. Treatment with biologics of pregnant patients with rheumatic diseases. Curr Opin Rheumatol. 2011;23:293–8.CrossRefPubMed
18.
go back to reference Skomsvoll JF, Wallenius M, Salvesen KÅ, Grindheim S. Kapittel 16. Inflammatoriske revmatiske sykdommer og kollagenoser. I:Veileder i fødselshjelp. Norsk gynekologisk forening / Den norske legeforening, 2014. From http://www.legeforeningen.no/ngf (veiledere)(in Norwegian). Skomsvoll JF, Wallenius M, Salvesen KÅ, Grindheim S. Kapittel 16. Inflammatoriske revmatiske sykdommer og kollagenoser. I:Veileder i fødselshjelp. Norsk gynekologisk forening / Den norske legeforening, 2014. From http://​www.​legeforeningen.​no/​ngf (veiledere)(in Norwegian).
19.
go back to reference Rom AL, Wu CS, Olsen J, Kjaergaard H, Jawaheer D, Hetland ML, et al. Fetal growth and preterm birth in children exposed to maternal or paternal rheumatoid arthritis: a nationwide cohort study. Arthritis Rheumatol. 2014;66:3265–73.CrossRefPubMedPubMedCentral Rom AL, Wu CS, Olsen J, Kjaergaard H, Jawaheer D, Hetland ML, et al. Fetal growth and preterm birth in children exposed to maternal or paternal rheumatoid arthritis: a nationwide cohort study. Arthritis Rheumatol. 2014;66:3265–73.CrossRefPubMedPubMedCentral
20.
go back to reference Langen ES, Chakravarty EF, Liaquat M, El-Sayed YY, Druzin ML. High rate of preterm birth in pregnancies complicated by rheumatoid arthritis. Am J Perinatol. 2014;31:9–14.PubMed Langen ES, Chakravarty EF, Liaquat M, El-Sayed YY, Druzin ML. High rate of preterm birth in pregnancies complicated by rheumatoid arthritis. Am J Perinatol. 2014;31:9–14.PubMed
21.
go back to reference Gur C, Diav-Citrin O, Shechtman S, Arnon J, Ornoy A. Pregnancy outcome after first trimester exposure to corticosteroids: a prospective controlled study. Reprod Toxicol. 2004;18:93–101.CrossRefPubMed Gur C, Diav-Citrin O, Shechtman S, Arnon J, Ornoy A. Pregnancy outcome after first trimester exposure to corticosteroids: a prospective controlled study. Reprod Toxicol. 2004;18:93–101.CrossRefPubMed
22.
go back to reference Cote CJ, Meuwissen HJ, Pickering RJ. Effects on the neonate of prednisone and azathioprine administered to the mother during pregnancy. J Pediatrics. 1974;85:324–8.CrossRef Cote CJ, Meuwissen HJ, Pickering RJ. Effects on the neonate of prednisone and azathioprine administered to the mother during pregnancy. J Pediatrics. 1974;85:324–8.CrossRef
23.
go back to reference Pinsky L, Digeorge AM. Cleft palate in the mouse: a teratogenic index of glucocorticoid potency. Science. 1965;147:402–3.CrossRefPubMed Pinsky L, Digeorge AM. Cleft palate in the mouse: a teratogenic index of glucocorticoid potency. Science. 1965;147:402–3.CrossRefPubMed
24.
go back to reference Schatz M, Patterson R, Zeitz S, O'Rourke J, Melam H. Corticosteroid therapy for the pregnant asthmatic patient. JAMA. 1975;233:804–7.CrossRefPubMed Schatz M, Patterson R, Zeitz S, O'Rourke J, Melam H. Corticosteroid therapy for the pregnant asthmatic patient. JAMA. 1975;233:804–7.CrossRefPubMed
26.
go back to reference Skomsvoll J, Ostensen M, Baste V, Irgens L. Validity of a rheumatic disease diagnosis in the Medical Birth Registry of Norway. Acta Obstet Gynecol Scand. 2002;81:831–4.CrossRefPubMed Skomsvoll J, Ostensen M, Baste V, Irgens L. Validity of a rheumatic disease diagnosis in the Medical Birth Registry of Norway. Acta Obstet Gynecol Scand. 2002;81:831–4.CrossRefPubMed
Metadata
Title
Reproductive trends in females with inflammatory joint disease
Authors
Marianne Wallenius
Kjell Å. Salvesen
Anne K. Daltveit
Johan F. Skomsvoll
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2016
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-016-0919-7

Other articles of this Issue 1/2016

BMC Pregnancy and Childbirth 1/2016 Go to the issue