Having a baby is a joyous and exciting time for mothers-to-be, friends and family. But for lupus mothers-to-be, there are questions to be answered about pregnancy and extra preparation. It‘s good to be prepared and know what you are in for. 

Before conceiving

It’s best to discuss your desire to conceive and have a baby with your doctor to see when is the right time to conceive. You may have to discontinue certain immunosuppressive drugs beforehand. Or it may not be a good idea especially if your organs are affected by lupus. 

After conceiving

Remember to keep in close contact with your doctor and obstetrician, so that if any problems develop it can be sorted out quickly. 

Risk of Pregnancy

Statistically, people with lupus has a higher chance of miscarriage, premature births, still births and neo natal complications. Morning sickness, nausea and fatigue are not exempted. 

Medication and pregnancy

It will be good if you can avoid all medication during this period. There are some medications that you can continue which will not harm the fetus. Other medicine cannot be stopped abruptly and this is why it is important to check with your doctor for the right time to conceive. 

Nutrition during pregnancy

You will need more calories to support both your own strength and the growth of your baby.

You will probably need to increase your intake of vitamins and minerals too. But most important is of course a healthy and balance diet. Nutritional supplements doe not replace a balance diet. 

After delivery

Flares may occur so be as prepared as you can. Some doctors may prescribe steroids just before delivery to try and contain it.

The first few weeks could be stressful even to a normal new mother. Lupus mothers will probably feel it more. Prepare yourself by talking to mothers with lupus. Their experience will be a great help….pitfalls to avoid. 

Breastfeeding

If you are planning to breastfeed, check with your doctor first, especially if you have been on medication for prolonged periods. The medication may get into the milk and may affect the baby.

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