Table 2.
Pregnancies (n) | SLE (±secondary APS) |
Primary APS (thrombotic+obstetric) |
||
Pathway N=16 |
Historical N=43 |
Pathway N=25 |
Historical N=28 |
|
Disease outcomes | ||||
SLE flare | 2 (12.5) | 17 (39.5) | – | – |
Major SLE flare | 1 (6.3) | 7 (16.3) | – | – |
Kidney | 0/1 (0.0) | 6/7 (85.7) | – | – |
Heart/Lungs | 1/1 (100.0) | 0/7 (0.0) | – | – |
Nervous system | 0/1 (0.0) | 0/7 (0.0) | – | – |
Haematological | 0/1 (0.0) | 2/7 (28.6) | – | – |
Minor SLE flare | 1 (6.3) | 10 (23.3) | – | – |
Joints | 1/1 (100.0) | 8/10 (80.0) | – | – |
Skin | 0/1 (0.0) | 4/10 (40.0) | – | – |
SLEPDAI* | 7 (6–8) | 4 (2–16) | – | – |
Thromboembolic events | 0 (0.0) | 0 (0.0) | 1 (4.0) | 3 (10.7) |
Maternal outcomes | ||||
Miscarriage | 0 (0.0) | 3 (7.0) | 10 (40.0) | 14 (50.0) |
<10 weeks | 0 (0.0) | 3 (7.0) | 10 (40.0) | 9 (32.1) |
10–16 weeks | 0 (0.0) | 0 (0.0) | 0 (0.0) | 5 (17.9) |
Gestational hypertension† | 1 (6.3) | 2 (5.0) | 2 (13.3) | 0 (0.0) |
Severe hypertensive disease† | 5 (31.3) | 13 (32.5) | 4 (26.7) | 4 (28.6) |
Vaginal delivery† | 11 (68.8) | 25 (62.5) | 7 (46.7) | 9 (64.3) |
Fetal outcomes | ||||
Perinatal death† | 1 (6.3) | 1 (2.5) | 0 (0.0) | 0 (0.0) |
FGR (EFW <p10)† | 3 (18.8) | 8 (20.0) | 1 (6.7) | 1 (7.1) |
Preterm birth <37 weeks† | 6 (37.5) | 15 (37.5) | 6 (40.0) | 3 (21.4) |
Preterm birth <32 weeks† | 1 (6.3) | 5 (12.5) | 1 (6.7) | 2 (14.3) |
Congenital heart block† | 0 (0.0) | 1 (2.5) | 0 (0.0) | 0 (0.0) |
NICU admission† | 2 (12.5) | 7 (17.5) | 1 (6.7) | 2 (14.3) |
Data depicted as number of pregnancies (% of cohort).
Severe hypertensive disease=pre-eclampsia, eclampsia or HELLP.
*Median (minimum, maximum).
†For calculations miscarriages were excluded.
APS, antiphospholipid syndrome; EFW, estimated fetal weight; FGR, fetal growth restriction; HELLP, haemolysis elevated liver enzymes low platelets; NICU, neonatal intensive care unit; SLEPDAI, Systemic Lupus Erythematosus Pregnancy Disease Activity Index.