When you are thinking about pregnancy, you must be thinking that you have good disease control, and that will be our focus from a rheumatology team: getting your disease better controlled. My name is Louise Moore, I’m a registered advanced nurse practitioner in rheumatology, and I work in Our Lady’s Hospice and Care Services in Harold’s Cross. When anybody with a rheumatic disease is thinking about pregnancy, it is really important their disease should be as quiet and in the best possible control at that particular time. So what does that mean? So that means that you have very little disease activity. Very little joint stifness, pain, that your inflammatory markers and your bloods are all normal… … and that you know that you are feeling well and are in a good place to consider attempting a pregnancy. So there may be times that changes are needed to your medication management. We do know that with some medications, it’s ok to take them during pregnancy… … but there are some medications that it is important that you stop. Maybe it’s not something that’s in the near future, maybe it’s something down the line… … but make sure to have that discussion with your rheumatology team. Even if you feel a little uncomfortable bringing it up in the clinic situation… … do push that point forward so that you are getting the correct information at the correct time.