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September 22.2025
2 Minutes Read

How Timing and Planning Can Prevent Catastrophic Pregnancies in Rheumatology

How Timing and Planning Can Prevent Catastrophic Pregnancies in Rheumatology


Understanding the Importance of Pregnancy Planning in Rheumatology

It’s a topic rarely addressed, yet essential: how to effectively plan pregnancies in rheumatology patients. At the recent Congress of Clinical Rheumatology Annual Meeting, Dr. Megan E.B. Clowse, a prominent expert in the field, underscored the importance of timing and proactive planning. Unplanned pregnancies can lead to severe emotional and physical implications for women with conditions like lupus, underscoring the need for healthcare providers to initiate these conversations well before a patient expresses interest in pregnancy.

Emotional Toll of Unplanned Pregnancies

Dr. Clowse highlighted findings from a groundbreaking study assessing pregnancy readiness among women with systemic lupus erythematosus (SLE). Shockingly, among 108 participants assessed, 37% were not “personally ready” when they conceived, leading to significantly higher rates of depression and less adherence to necessary pregnancy-safe medications. The implications for both maternal and fetal health are concerning, emphasizing the critical role of early discussions about pregnancy.

Practical Tips for Concierge Practices

As concierge medical practice owners, fostering deeper connections with patients involves not just excellent health care but also being these conversations. Here are a few actionable steps to take:

  • Start Early: Introduce conversations about family planning in routine visits. Use open-ended questions to gauge your patients' thoughts on pregnancy.

  • Educate and Inform: Create resources or informational sessions regarding the challenges and considerations of pregnancy for women with rheumatic diseases.

  • Personalized Care: Tailor the healthcare experience by being sensitive to patients' timelines and emotional states, ensuring they feel supported in their decisions.

Building a Supportive Environment

By being proactive, you not only position your practice as a leader in patient-centered care but also significantly improve patient outcomes. Whether it’s addressing the emotional aspects of unplanned pregnancies or providing the right medications at the right time, the focus on communication and comprehensive care fosters trust. Patients will appreciate your dedication and may choose to remain with your practice for their continued health journey.

Call to Action

As a concierge medical practice owner, are you ready to step up your engagement with patients on this critical issue? Start the conversation today and position your practice as a supportive ally in your patients' reproductive health journeys. Consider introducing informational materials and workshops to enhance your patient experience!


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