
03/09/2025
Lupus & Rheumatoid Arthritis Hit Pregnant Veterans Hard
Recent research reveals a stark reality: pregnant veterans living with autoimmune conditions like systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) face significantly higher risks during pregnancy. A pivotal study of U.S. veterans aged 18–45 (with at least one VA primary care visit in the year before pregnancy, covering 2009–2019) found:
Pregnancy loss (such as miscarriage, stillbirth, or ectopic conditions) occurred in 36% of veterans with SLE and 30.4% with RA, but only 25.2% among veterans without these diagnoses.
Severe Maternal Morbidity (SMM)—serious complications during or within 42 days after pregnancy—was seen in nearly 10% of SLE patients and 4.3% of RA patients, compared to just 3.2% in others.
PubMed
Another abstract reinforces these findings:
Roughly 37% of pregnancies among veterans with SLE and 29% among those with RA ended in miscarriage or ectopic pregnancy, versus 25% in the general veteran pregnancy population.
Over 10% of SLE pregnancies and 5% of RA pregnancies experienced SMM, compared to 3% overall.
ACR Meeting Abstracts
A Personal Perspective
Reading these statistics, I can't help but feel a deep sense of compassion—and urgency. These aren’t just numbers on a page—they represent real people: women and mothers who have served our country and now face steep medical odds during one of life’s most vulnerable times.
I think about the added burden veterans often carry—stressors like PTSD, exposure to burn pits, or military sexual trauma—that not only heighten autoimmune risk but also complicate pregnancy outcomes. The emotional and physical toll this takes is immense.