Psoriasis and pregnancy (what do dermatologists think)

[Fred]

This French study looked at the dermatologist's position and the patient's preoccupations as to psoriasis and pregnancy.

Quote:

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Background:
While some information on psoriasis impact on pregnancy is available, very little is known on the preoccupations of women afflicted by the disease or on the dermatologists’ (D) positioning as to psoriasis and pregnancy. The “Objectifs Peau” project demonstrated a 4.7% prevalence of psoriasis in women aged 18‐45 years in France.

Objective:
This project sought to further address these issues in view of a targeted action plan.

Methods:
A questionnaire was made available to 361 D of different types.

Results:
Overall, 152 D answered the questionnaire, 50.7% working in private or mixed practice and 49.3% in hospitals, with 63% females (DF) and 37% males (DM). Over the last 3 months, the mean percentage of women of child‐bearing age seen by these D was 28.6%. The main issue addressed by D upon psoriasis diagnosis was the patient's wish to become pregnant in the short‐term (84%), while the compatibility of drug treatment with pregnancy was the issue prioritized by patients (64%). Among DM and DF, 46% and 29% reported having been confronted with an unplanned pregnancy, with their reaction mainly dependent on the treatment taken in 66%. Regarding follow‐up, 26% D declared having shared their decision‐making with gynecologists, while 56% considered the first pregnancy trimester to be the highest risk period. Only 28% D were familiar with existing recommendations, with only 21% of them considering them appropriate.

Conclusion:
Overall, 26.2% of French psoriasis women are of child‐bearing potential, in line with our dataset (28.6%). Only 56% D considered the 1st pregnancy trimester to be the highest risk period, with only one‐third familiar with existing recommendations. The gap between recommendations and actual practices must be addressed through policies that take women's preoccupations better into account.

Source: onlinelibrary.wiley.com

*Early view funding unknown

[Caroline]

I read it but still don’t know what it should tell me. It is a bit vague

I guess it should tell that a lot of woman/men dermatologists do know too little about the condition Psoriasis and pregnancy.
But that is for me not clear out of all the percentages that are spread around.

I guessed it, because it seems to me that it is a bit obvious. The standard reaction and mentioning in almost all systemics and biologicals is.... do not get pregnant, while on these drugs. But based on what and why I have never seen any figures about. As 46% and 29% seems to be confronted with unplanned pregnancies, I guess these are women who are using Psoriasis drugs. It should have been easy to follow those pregnancies in order to find out the effects of getting pregnant while on drugs.
Seems logical to me that when you would get pregnant, you should stop using serious drugs. And again what is really serious? There are no figures, at least not that what I have ever seen.