Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion
Metadatos
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AVES
Materia
Rheumatic diseases Pregnancy Breastfeeding Multidisciplinary care
Fecha
2022-02-07Referencia bibliográfica
Pluma A, Alsina L, Baniandre´s O, et al. Multidisciplinary models for pregnancy care in patients with rheumatic diseases: Clinical experiences and experts opinion. Eur J Rheumatol. 2022;9(4):191-196. DOI: [10.5152/eujrheum.2022.20012]
Resumen
Objectives: To describe different models of multidisciplinary pregnancy care for patients with inflammatory
and autoimmune rheumatic diseases, and the steps to follow concerning their
implementation.
Methods: A qualitative study was conducted including: (1) a comprehensive literature search in
PUBMED focused on multidisciplinary care models; (2) structured interviews with seven rheumatologists
from multidisciplinary pregnancy clinics for patients with inflammatory and autoimmune rheumatic
diseases. Data were collected related to the hospitals, medical departments, populations cared
for, and multidisciplinary care models (type, material, and human resources, professional requirements,
objectives, referral criteria, agendas, protocols, responsibilities, decision-making, research and educational
activities, multidisciplinary clinical sessions, initiation/start, planning, advantages/disadvantages,
and barriers/facilitators for implementation); (3) a nominal meeting group in which the results of
searches and interviews were analyzed and the recommendations for the implementation of the multidisciplinary
care models defined.
Results: We analyzed seven models of multidisciplinary care in pregnancy, implemented 3-10 years
ago, which can all be summarized by two different subtypes: parallel (patients are assessed the same
day in the involved medical services) and preferential (patients are assessed on different days in the
involved medical services) circuits. The implementation of a specific model results rather from an
adaptation to the hospital’s and professionals’ circumstances. Correct planning and good harmony
among professionals are key points to implementing a model.
Conclusion: Different multidisciplinary care models have been implemented for patients with inflammatory
and autoimmune rheumatic diseases during pregnancy. They pretend to improve care, system
efficiency, and collaboration among specialists and should be carefully implemented.