Pregnancy with Systemic Lupus Erythematosus with Sjogren Syndrome and intrauterine fetal heart block: A successful pregnancy outcome: A case report:

Abstract

Fertility is not impaired with autoimmune diseases. Pregnant women with autoimmune diseases, are likely toexperience more complications than are women without the disease. Pregnancies complicated by these disordershave a high clinical impact on both the pregnancy and the disease. Sjögren syndrome is an autoimmune disease witha high prevalence of anti-SS-A (anti-Ro) and anti-SS-B (anti-La) antibodies. Anti-SS-A antibodies are associatedwith congenital heart block. Women with Primary Sjögren syndrome require prenatal counseling explaining the risksinvolved and the need to control the disease well before conception. High-risk pregnancies can be optimally managedby a multidisciplinary team. Excessive fetal morbidity and mortality have been noted in patients with systemic lupuserythematosus (SLE). The influence of anti-SSA/Ro antibodies on fetal outcome in SLE patients has rarely beenreported, but its high association with congenital heart block or neonatal lupus syndrome is well known. Here we arepresenting a case Mrs. Tahiya, 34 years, 2nd gravida with 37+wks pregnancy with SLE with Sjogren Syndrome withuncontrolled DM with history of previous 1 LSCS. This case was managed in multidisciplinary approach.