Rheumatoid arthritis is a chronic illness and people describe different symptoms which they experienced whilst living with the disease. The symptoms of rheumatoid arthritis (RA) in pregnant women typically diminish or disappear, only to return within three months after delivery. In changes in immune system cells that help explain this phenomenon.
Pregnancy may cause RA to go into a hiding Phase. As the pregnancy is an immune compromised state, the immune system is not as active thus decreases pain and inflammation.
In pregnancy immunity of the body is allied which possibly contributes to change in progression of RA. Though no single theory explains the improvement seen in patients with R.A. Following mechanism may be proposed.
- Cell-Mediated immunity is decreased with increase in helper TH2
- Increases level of Estrogen, Progesterone, Coilised
- Elevated levels of anti-inflammatory causing down-regulation of the 1 cytokine during pregnancy
- Effect of pregnancy on hormonal immunity.
Possible causes increase of Rheumatoid Arthritis symptoms in Postpartum Period
- Increase in Prolactin
- Change in HPO axis
- Change from helper TH2 to helper T Cell 1
Important Points of Rheumatoid Arthritis and Pregnancy:
- It goes away post delivery – Rheumatoid arthritis (RA) symptoms generally go away after the baby is born. Women who have the autoimmune disease rheumatoid arthritis (RA) may experience increased fatigue.
- Adhere to medication and do not self-medicate – It is necessary to take arthritis medications during pregnancy. Be sure to mention all prescription, over-the-counter medications, and dietary supplements that you take. Some are safe to continue using, but others can harm your baby.
- Opt for a balanced diet- Sometimes, arthritis can cause symptoms such as dry mouth and difficulty swallowing, which makes it harder to eat. However, good nutrition is important for people with arthritis, and it’s essential to your baby’s development. You’ll probably be taking prenatal supplements, but you should discuss any problems eating with your doctor.
- Exercise well – You should continue to exercise during pregnancy. Include range-of-motion exercises in your exercise routine to promote flexibility, as well as exercises that will help you maintain your muscle strength. Walking and swimming are particularly helpful for people with arthritis.