Table 5.

Potential risk factors of complications in pregnancies with SLE.

Maternal Complications
Univariate AnalysisMultivariate Analysis
OR95% CIPOR95% CIP
Hemoglobin < 10 g/dL17.73.63–86.25< 0.001*4.380.4–47.710.18
Thrombocytopenia3.31.23–8.850.024*2.120.46–9.610.34
C3 < 90 mg/dL + C4 < 10 mg/dL4.411.9–10.26< 0.001*1.560.48–5.030.47
Anti-dsDNA Ab positivity2.381.12–5.030.02*0.860.25–2.940.81
Proteinuria > 0.5 g/d9.823.61–26.7< 0.001*7.251.75–30.050.008*
SLEDAI-2K, at pregnancy > 44.612.08–10.23< 0.001*0.70.18–2.770.61
LLDAS0.090.03 - 0.22< 0.001*0.180.04–0.740.016*
Cumulative steroid dose after diagnosis > 3500 mg7.813.14–19.39< 0.001*3.991.25–12.770.024*
Mean steroid dose during pregnancy > 6 mg/d6.632.95–14.89< 0.001*1.780.53–5.940.36
History of CYC treatment6.332.52–15.88< 0.001*2.70.66–11.030.18
Fetal complications
Univariate analysisMultivariate analysis
OR95% CIPOR95% CIP
Hemoglobin < 10 g/dL5.911.23–28.290.029*1.560.15–16.870.71
Thrombocytopenia7.772.16–27.89< 0.001*18.422.09–162.630.009*
C3 < 90 mg/dL + C4 < 10 mg/dL4.661.93–11.24< 0.001*4.571.46–14.330.017*
Anti-dsDNA Ab positivity2.531.29–4.990.013*10.36–2.7840.99
Proteinuria > 0.5 g/d3.711.37–10.090.01*0.940.24–4.770.94
SLEDAI-2K, at pregnancy > 49.634.06–22.8< 0.001*2.930.75–11.50.004*
LLDAS0.140.07–0.29< 0.001*0.210.06–0.650.01*
Mean steroid dose during pregnancy > 6 mg/d3.591.63–7.920.035*0.980.15–1.750.28
  • *P < 0.05. Ab: antibody; CYC: cyclophosphamide; LLDAS: Lupus Low Disease Activity State; SLE: systemic lupus erythematosus; SLEDAI-2K: SLE Disease Activity Index 2000.