Author(s)

Sosthène Mayi-Tsonga^1*, Landry Missounga², Josaphat Ibaba², Jean Ronald Edoa², Jean Baptiste Moussavou Kombila²

¹Obstetrics Department, Libreville’s Military Hospital, Libreville, Gabon.
²Department of Internal Medicine, Libreville’s Hospital University, Libreville, Gabon.

Pregnancy and systemic lupus erythematosus in black African women: about 10 cases in Libreville (Gabon). Objectives: Through a study in a population of systemic lupus erythematosus (SLE) pregnant black Gabonese women, we describe the characteristics of these pregnancies to clarify their main complications and to make recommendations to their follow-up in low resource countries. Patients and Methods: This is a longitudinal descriptive study conducted over a period of six years, from 1 January 2008 to October 31, 2013, in Libreville (Gabon). We’ve included, systemic lupus erythematosus women carrying a pregnancy during the period of the study. Results: Seventy-two SLE women were followed and were eligible. Only 8 patients (11%) were pregnant during the follow up period. These 8 SLE patients allowed us to monitor 10 pregnancies. The average parity was 0.88. Eight pregnancies in ten (80%) had complications and most frequent was preeclampsia. Nine pregnancies (90%) resulted in the birth of viable children of which 4 (44.4%) were born by caesarean section and the 5 others (55.6%) were born by natural route. Conclusion: We recommend a monthly prenatal care for these high-risk pregnancies and early detection of preeclampsia.

Systemic Lupus Erythematosus, Pregnancy, Preeclampsia, Gabon

Mayi-Tsonga, S. , Missounga, L. , Ibaba, J. , Edoa, J. and Kombila, J. (2015) Complications of Pregnancy in Patients with Systemic Lupus Erythematosus (Gabon). Open Journal of Obstetrics and Gynecology, 5, 443-447. doi: 10.4236/ojog.2015.58064.