Duke Autoimmunity in Pregnancy Registry

Study Overview
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Brief Summary
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It is difficult to predict how a women with an autoimmune disease will do during pregnancy. Some women will improve, others will worsen. Some pregnancies progress normally and others become very complicated. The Duke Autoimmunity in Pregnancy (DAP) Registry will enroll women with autoimmune diseases, such as lupus, rheumatoid arthritis, scleroderma, and Sjogren's syndrome who wish to become, or already are, pregnant. We will follow these women throughout pregnancy to better understand how their autoimmune disease affects their pregnancy, and vice versa.

Detailed Description
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Women with a systemic autoimmune disease that would be followed by a rheumatologist will be included in this study. All women will be seen every 4-6 weeks throughout pregnancy. At each visit, women will complete a questionnaire, the physician will determine the current level of disease activity, and a blood sample will be taken. For women with lupus and healthy women, and additional visit will occur at the start of the 3rd trimester for a closer evaluation of predictors of preterm birth. This is not an intervention study. Women will not be given experimental medication. All recommendations for treatment and monitoring will be made based on the best available data with input from the treating obstetrician. Women in this Registry are not required to be seen by Duke Obstetrics nor to deliver at a Duke Hospital.

Official Title
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Duke Autoimmunity in Pregnancy Registry

Conditions
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Pregnancy, Systemic Lupus Erythematosus, Cutaneous Lupus, Rheumatoid Arthritis, Sjogren's Syndrome, Scleroderma

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older Desire for pregnancy within 6 months or currently pregnant Women with systemic autoimmune disease, including: Lupus (systemic lupus erythematosus or cutaneous lupus) Antiphospholipid Syndrome or positive antiphospholipid antibodies Rheumatoid Arthritis Scleroderma (systemic sclerosis) Sjogren's Syndrome Inflammatory Arthritis (including Psoriatic Arthritis and Ankylosing Spondylitis) Undifferentiated Connective Tissue Disease (UCTD) Vasculitis Myositis (Polymyositis or Dermatomyositis) Positive Ro/SSA or La/SSB antibodies Exclusion Criteria: Unable to speak English Unable to provide informed consent Unable to travel to Duke University for follow-up visits

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 1<br>Women with lupus | |
| 2<br>Health women who are matched to women with lupus by age and race | |
| 3<br>Women with other autoimmune diseases | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pregnancy, Lupus (systemic lupus erythematosus or cutaneous lupus), Rheumatoid Arthritis, Sjogren's Syndrome, Scleroderma