Abstract：
OBJECTIVE: To design a care protocol in Chronic Inflammatory Arthritis during the pre-conceptional period, pregnancy, postpartum and lactation. This protocol aims to be practical and applicable in consultations where patients with chronic inflammatory rheumatological diseases are treated, thus helping to better control these patients. Likewise, recommendations are offered on when patients could be consulted/referred to a specialized center by the physician.
METHODS: A multidisciplinary panel of expert physicians from different specialties identified the key points, analyzed the scientific evidence, and met to develop the care protocol.
RESULTS: The recommendations prepared have been divided into three blocks: rheumatology, gynecology and pediatrics. The first block has been divided into pre-pregnancy, pregnancy and postpartum visits.
CONCLUSIONS: This protocol tries to homogenize the follow-up of the patients from the moment of the gestational desire until the year of life of the infants. It is important to perform tests in patients of childbearing age and use drugs compatible with pregnancy. If appropriate, the patient should be referred to specialized units. Multidisciplinarity (rheumatology, gynecology and pediatrics) is essential to improve the control and monitoring of these patients and their offspring.
METHODS: A multidisciplinary panel of expert physicians from different specialties identified the key points, analyzed the scientific evidence, and met to develop the care protocol.
RESULTS: The recommendations prepared have been divided into three blocks: rheumatology, gynecology and pediatrics. The first block has been divided into pre-pregnancy, pregnancy and postpartum visits.
CONCLUSIONS: This protocol tries to homogenize the follow-up of the patients from the moment of the gestational desire until the year of life of the infants. It is important to perform tests in patients of childbearing age and use drugs compatible with pregnancy. If appropriate, the patient should be referred to specialized units. Multidisciplinarity (rheumatology, gynecology and pediatrics) is essential to improve the control and monitoring of these patients and their offspring.
摘要：
目的：设计孕前慢性炎症性关节炎的护理方案，怀孕,产后和哺乳期。该协议旨在在治疗慢性炎症性风湿病患者的咨询中实用和适用，从而帮助更好地控制这些患者。同样，就何时可以由医生向患者咨询/转诊至专业中心提供建议.
方法：由来自不同专业的专家医师组成的多学科小组确定了关键点，分析了科学证据，并开会制定护理方案。
结果：准备的建议分为三个部分：风湿病，妇科和儿科。第一个区块已经分为孕前，怀孕和产后就诊。
结论：该方案试图使患者从妊娠欲望到婴儿生命年份的随访均匀化。重要的是对育龄患者进行测试并使用与妊娠相容的药物。如果合适,病人应该被转诊到专门的单位。多学科(风湿病学，妇科和儿科）对于改善对这些患者及其后代的控制和监测至关重要。
方法：由来自不同专业的专家医师组成的多学科小组确定了关键点，分析了科学证据，并开会制定护理方案。
结果：准备的建议分为三个部分：风湿病，妇科和儿科。第一个区块已经分为孕前，怀孕和产后就诊。
结论：该方案试图使患者从妊娠欲望到婴儿生命年份的随访均匀化。重要的是对育龄患者进行测试并使用与妊娠相容的药物。如果合适,病人应该被转诊到专门的单位。多学科(风湿病学，妇科和儿科）对于改善对这些患者及其后代的控制和监测至关重要。
