Women with psoriatic arthritis were more likely to be obese, smokers, had IBD, ankylosing spondylitis and rheumatoid arthritis
In pregnancies with psoriatic arthritis, there was an increased risk of
Preterm birth: adjusted odds ratio (OR) 1.63 (95% CI, 1.17 to 2.28)
Elective cesarean delivery: aOR 1.47 (95% CI, 1.10 to 1.97)
Emergency caesarean delivery: aOR 1.43 (95% CI, 1.08 to 1.88)
Risk for preterm birth was increased for first pregnancies
Psoriatic arthritis: 10.7%
Non- psoriatic arthritis: 5.7%
aOR 1.90 (95% CI 1.33–2.72)
In the psoriatic arthritis pregnancy group there were no differences found for the following
Other adverse infant outcomes
Authors recognize limitations of the study including lack of data on severity, which does impact adverse outcomes in the context of other arthritis diseases
Women with psoriatic arthritis can be reassured that most will have uncomplicated births with limited adverse outcome
However, compared to women without psoriatic arthritis, there is an increased risk for preterm birth and cesarean delivery, consistent with other inflammatory arthritis diseases like rheumatoid arthritis
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