TITLE:
Complications of Pregnancy in Patients with Systemic Lupus Erythematosus (Gabon)
AUTHORS:
Sosthène Mayi-Tsonga, Landry Missounga, Josaphat Ibaba, Jean Ronald Edoa, Jean Baptiste Moussavou Kombila
KEYWORDS:
Systemic Lupus Erythematosus, Pregnancy, Preeclampsia, Gabon
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.8,
July
31,
2015
ABSTRACT: 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.