Rheumatoid Arthritis and Pregnancy

Rheumatoid arthritis (RA) is a chronic autoimmune disease primarily affecting the joints. However, being diagnosed with RA doesn’t preclude you from experiencing the joy of pregnancy. This article explores the intricate relationship between rheumatoid arthritis and pregnancy, offering tips and guidance to ensure both mother and baby stay healthy.

Rheumatoid Arthritis and Pregnancy: What to Expect?

It’s not uncommon for women with RA to experience symptom improvement during pregnancy, with some even experiencing complete remission. However, the postpartum period often sees a flare-up of symptoms. Understanding these patterns can help you prepare for the journey ahead.

Pre-Pregnancy Planning

If you have RA and are considering pregnancy, the first step is to consult your rheumatologist and obstetrician. Pre-pregnancy planning includes:

• Medication Review: Some RA medications may not be safe during pregnancy or breastfeeding. Your doctor can help devise a pregnancy-safe treatment plan.
• Health Evaluation: A thorough health check-up is important to assess disease activity and identify any potential risks.
• Lifestyle Modifications: A balanced diet, regular exercise, and good sleep hygiene are vital to maintaining good health during pregnancy.

Pregnancy and Rheumatoid Arthritis Management

Here’s what you need to know about managing RA during pregnancy.

• Regular Monitoring: Regular check-ups with your healthcare team are crucial to monitor your health and the baby’s development.
• Exercise: Low-impact activities like swimming, walking, or prenatal yoga can help keep your joints flexible and muscles strong.
• Rest: Balance activity with rest to manage fatigue, a common RA and pregnancy symptom.
• Support: Utilize support devices like maternity belts to alleviate discomfort from added weight.

Postpartum Care and Rheumatoid Arthritis

As previously mentioned, it’s common for RA symptoms to flare-up postpartum. A postpartum care plan should include:

• Medication Adjustment: Your treatment plan may need to be adjusted after delivery, especially if you plan to breastfeed.
• Physical Therapy: Postpartum physical therapy can help manage new or increased joint pain.
• Support: Don’t hesitate to ask for help from loved ones or hire a postpartum doula.

Ayurveda and Rheumatoid Arthritis

Ayurveda, offers natural remedies that might complement conventional RA treatments. Ayurveda attributes RA to an imbalance of ‘Vata dosha’ and offers treatments like warm oil massages and herbal supplements.

Coping with Emotional Changes

Pregnancy can be an emotional roller-coaster, and living with RA can intensify these feelings. Prenatal and postnatal mental health is important. Seek support from a mental health professional if needed.

Though managing pregnancy with RA can seem daunting, proper preparation and continuous monitoring can make the journey smoother. A multidisciplinary team consisting of your rheumatologist, obstetrician, physical therapist, and even an Ayurvedic practitioner can support you throughout this journey. Remember, you’re not alone – there are numerous resources and support groups for women navigating pregnancy with RA.