RheumPreg Clinic · Pregnancy and Rheumatic Disease

Rheumatic disease before, during, and after pregnancy.

The clinic's reference library covers pre-conception planning, medication safety in pregnancy and breastfeeding, and management through pregnancy and postpartum, written for patients and, in depth, for clinicians.

43 reviewed topics · medication safety graded and sourced.
For patients & families

Planning a pregnancy with rheumatic disease

  • Which medications need a conversation before conception
  • What to expect through pregnancy and after birth
  • Plain-language guides you can bring to your team
Browse all 43 topics
For clinicians

The sourced, gradeable reference

  • Phase-by-phase drug guidance with evidence grades and citations
  • The ACR vs EULAR vs BSR guideline matrix, divergences flagged
  • Condition management and monitoring, before through postpartum
Open the guideline matrix

Living well in pregnancy

Lifestyle

Occupational therapy

Joint protection, pacing, hands and splinting, and setting up for baby care.

Read guide Lifestyle

Quitting smoking in pregnancy

Why it matters, what helps safely in pregnancy, and PREGNETS support.

Read guide Lifestyle

Exercise & activity

Moving well through pregnancy with rheumatic disease.

Read guide

Clinic team

Dr. Dharini Mahendira

Dr. Dharini Mahendira

MD, FRCPC, MScCH · Rheumatology

Program Director, U of T Rheumatology · Division Head, St. Michael's

Angelo Papachristos

Angelo Papachristos

BSc, BScPT, MBA, ACPAC

Advanced Practice Physiotherapist · Allied health

Wider perinatal allied-health team (pelvic health, occupational therapy) confirmed at intake.

i The clinical library, 43 reviewed topics, 22 medication guides, and the guideline matrix, opens in the clinical section. Each topic renders a patient version and a clinician version from one reviewed source.