How TNF inhibitors have revolutionised pregnancy in RA

A comparison with outcomes in the early 2000s shows remission rates have doubled
Reuters Health Staff writer

Many pregnant women with rheumatoid arthritis (RA) can achieve low disease activity in the third trimester with a modern treatment regimen that includes anti-TNF medications, a study suggests.

Researchers examined data on 309 patients with RA who were pregnant or trying to conceive and undergoing a treat-to-target medication regimen that included anti-TNF medications as well as low-dose prednisone and disease-modifying antirheumatic agents.

They compared outcomes for this group of women to results from a historic reference cohort of women treated from 2002-10.

In the modern treatment cohort, 75% of women were in remission or had low disease activity before pregnancy, and this rose to 90% during pregnancy.