Care for high-risk lupus pregnant women: challenges and procedures in pregnancy management

Abstract

Introduction: Pregnancy in women with systemic lupus erythematosus (SLE) is high-risk due to potential complications for mother and fetus, requiring specific medical care. Objective: Review the challenges in managing pregnancy in women with SLE, to understand the specific care required, and to identify strategies to improve maternal and neonatal outcomes. Methodology: This is an integrative literature review and recent descriptive study on the subject, using scientific databases such as the Scientific Electronic Library (SciELO), the Latin American and Caribbean Literature in Health Sciences (LILACS), the Nursing Database (BDENF) and the Medical Literature Analysis and Retrieval System Online (MEDLINE). Results and Discussion: The results highlight the importance of strategies for managing immunosuppressive therapy during pregnancy, blood pressure control and management of complications, and an approach that includes multiple specialties. Conclusion: Caring for high-risk lupus pregnancies presents complex challenges, but a coordinated approach can significantly improve maternal and neonatal outcomes.