Patients with systemic autoimmune and rheumatic diseases face increased risks of adverse pregnancy outcomes that can be mitigated by integrated reproductive health care.
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A proposed framework emphasizes core competencies for rheumatologists, including assessing pregnancy preferences and optimizing disease control before pregnancy.
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Gaps in care persist, with only one-third of reproductive-age patients seeing a gynecologist, highlighting the need for better coordination in reproductive health services.
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The framework advocates for structural changes, including collaboration with ObGyns and enhanced training in sexual and reproductive health for rheumatology fellows.
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The researchers stress that proactive, coordinated care can improve reproductive outcomes for patients with systemic autoimmune and rheumatic diseases.
