Author: Narayan, Bhaskar; Nelson-Piercy, Cathy
Title: Physiological Changes of the Immune System During Pregnancy Cord-id: dh1uiin1 Document date: 2020_5_12
ID: dh1uiin1
Snippet: Pregnancy is a unique immunological state, during which there are pro-inflammatory changes as well as increased immune tolerance. A shift occurs from a Th1- towards a Th2-predominant immunological profile. As a consequence, certain infections cause more severe disease in pregnancy. The immunological changes also influence the activity of autoimmune diseases, which are relatively common in pregnant women and may require critical care admission. Identifying autoimmune flares may be more challengin
Document: Pregnancy is a unique immunological state, during which there are pro-inflammatory changes as well as increased immune tolerance. A shift occurs from a Th1- towards a Th2-predominant immunological profile. As a consequence, certain infections cause more severe disease in pregnancy. The immunological changes also influence the activity of autoimmune diseases, which are relatively common in pregnant women and may require critical care admission. Identifying autoimmune flares may be more challenging during pregnancy, as some features may overlap with normal pregnancy and/or pre-eclampsia. Many immunosuppressive treatments can be used during pregnancy and should not be withheld if clinically indicated.
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