Introduction: Psoriasis is an autoimmune disease that most commonly affects women in reproductive age. Due to the lack of information about what happens before and during pregnancy, and after childbirth with a woman with psoriasis and fetus or a child, a pregnancy can be very stressful for a woman, especially if it was not planned. Purpose: The purpose of this study is to present the impact of psoriasis on the lives of women who are planning motherhood. The purpose is to determine whether women with psoriasis have difficulty conceiving, whether the disease itself, as well as treatment affects the outcome of pregnancy or if they leave consequences on the mother and child. Methods: A descriptive method of work with a narrative review of the literature was used. A review of Slovenian and English professional and scientific literature was performed. The literature search was performed in COBIB.SI databases, CINAHL with full text, Science direct, Willey online library, Medline (PubMed), which were accessed through the Digital Library of the University of Ljubljana and online. The time frame for publications of the searched literature is from 2011 to 2021. We have included 24 articles in the analysis. Results: Psoriasis itself does not affect fertility and does not affect pregnancy alone and its outcome. However, it can be affected by comorbidities such as gestational diabetes, gestational hypertension, and preeclampsia. Mild to moderate corticosteroids and emollients are used primarily for treatment during pregnancy, ultraviolet B salvage is used in the second place, and tumor necrosis inhibitors and systemic drugs such as cyclosporine are the third choice. In pregnancy psoriasis improves, because of high level hormones and worsening has been reported 6 to 8 weeks after delivery. Discussion and conclusion: Women with psoriasis should plan their pregnancy in advance and get informed and consulted by a dermatologist and gynecologist, for a safe pregnancy. It would make sense to conduct further research on this topic, because many of information is incompatible.
|
