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Review
. 2017 May;43(2):249-262.
doi: 10.1016/j.rdc.2016.12.002. Epub 2017 Mar 14.

Lactation and Management of Postpartum Disease

Bonnie L Bermas  1
Affiliations
Review

Lactation and Management of Postpartum Disease

Bonnie L Bermas. Rheum Dis Clin North Am. 2017 May.

Abstract

While much of the existing literature in the field of reproductive rheumatology focuses on fertility, preconception counseling, and pregnancy, there is limited information regarding the postpartum period and lactation. Evidence suggests that many rheumatologic disorders flare after delivery, which, along with limitations in medications compatible with breastfeeding, make this time period challenging for women with rheumatologic conditions. This article discusses rheumatologic disease activity during the postpartum period and reviews the safety during lactation of commonly used medications for the management of rheumatic diseases. Fortunately, many of the commonly used medications are compatible with breastfeeding.

Keywords: Biologics; DMARDs; Lactation; Postpartum flare; Rheumatologic diseases.

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