Managing Autoimmune Conditions During Pregnancy
Can women with autoimmune conditions safely have a baby?
It’s one of the most common — and most emotional — questions women ask in my clinic. The answer is yes. With expert planning, ongoing support, and a strong partnership between patient and doctor, a healthy pregnancy is completely achievable.
I’m Dr. Deepika Doshi, an experienced Gynecologist, Obstetrician, and Laparoscopic Surgeon practicing in Borivali and Dahisar, and over the years, I’ve walked this path with many brave women who faced autoimmune challenges but went on to become proud, glowing mothers.
“Every Woman’s Journey Is Unique — And So Is Her Care”
“I don’t treat diseases; I care for women who want to live their dream of motherhood,” shares Dr. Deepika Doshi, often regarded as one of the best gynecologist in Borivali.
“Autoimmune conditions don’t define you — your strength does. My job is to guide you safely through every stage, from planning to delivery.”
Pregnancy is already a delicate balance — when the immune system behaves unpredictably, that balance requires careful coordination. That’s where medical experience, communication, and compassion come together.
When the Immune System and Pregnancy Interact
Autoimmune diseases happen when the body’s defense system mistakenly attacks its own cells. During pregnancy, however, immunity naturally adapts to protect both mother and baby — sometimes improving symptoms, sometimes triggering flares.
The key is constant medical supervision. Regular checkups with an obstetrician in Borivali like Dr. Doshi help anticipate and manage these changes before they become complications.
Common autoimmune disorders during pregnancy include:
- Systemic Lupus Erythematosus (SLE)
- Rheumatoid Arthritis (RA)
- Antiphospholipid Syndrome (APS)
- Hashimoto’s Thyroiditis or Graves’ Disease
- Multiple Sclerosis (MS)
A Real Story from Borivali – Meera’s Miracle Pregnancy
Meera, a 31-year-old woman from Borivali West, had been living with lupus for six years. When she found out she was pregnant, fear overshadowed her happiness.
She visited Dr. Deepika Doshi at her Dhaval Apartment Clinic near Borivali Railway Station, known for personalized maternity care. Together with Meera’s rheumatologist, Dr. Doshi created a trimester-specific plan — adjusting medicines, monitoring lupus markers, and ensuring baby growth was perfect.
At 38 weeks, Meera delivered a healthy baby boy. Her lupus remained under control.
“I thought motherhood wasn’t possible for me,” Meera smiles. “But with Dr. Deepika’s constant support, I had the safest and happiest pregnancy imaginable.”
Safe Medications and Careful Monitoring Matter Most
Managing autoimmune conditions means finding a delicate balance — treating the mother without harming the baby.
“We don’t stop essential medicines; we switch to safer ones and monitor closely,” explains Dr. Deepika Doshi, trusted by many as a high-risk pregnancy doctor in Borivali. “Our focus is always two lives — the mother’s and the baby’s.”
Here’s what careful medication management can look like:
- Hydroxychloroquine for lupus control.
- Low-dose aspirin or heparin to prevent clots in Antiphospholipid Syndrome.
- Corticosteroids in short, monitored doses for flare-ups.
Frequent ultrasounds and blood tests track both immune activity and baby’s growth, ensuring steady progress throughout all trimesters.
Lifestyle, Nutrition, and Mental Health During Autoimmune Pregnancy
Pregnancy is not just a physical journey — it’s deeply emotional, especially for women managing chronic conditions.
Dr. Doshi recommends:
- Anti-inflammatory foods: spinach, turmeric, fatty fish, and fresh fruits.
- Plenty of water: especially for women on corticosteroids.
- Adequate rest: autoimmunity and fatigue go hand in hand.
- Gentle activity: prenatal yoga or short walks (only if cleared).
- Emotional support: join a small circle of family, friends, and trusted doctors.
“I always tell my patients that mental peace is as important as medical treatment,” says Dr. Deepika Doshi. “A calm, supported mother nurtures a calm, healthy baby.”
Delivery and Recovery — The Postpartum Balancing Act
Most autoimmune patients can safely have a normal vaginal delivery, while some may need a planned cesarean based on their health.
“The goal is always safety — not forcing a type of birth,” says Dr. Doshi, known as a compassionate gynecologist near Borivali station.
After childbirth, the immune system may rebound, leading to possible flare-ups.
That’s why postpartum care is critical:
- Continue safe medications.
- Schedule early postnatal follow-ups.
- Review breastfeeding compatibility with prescribed drugs.
The first six weeks after delivery often set the tone for long-term health — and that’s when consistent doctor support matters most.
Warning Signs That Shouldn’t Be Ignored
Women with autoimmune conditions should reach out immediately if they notice:
- Severe headaches or swelling (possible preeclampsia)
- New rashes or unexplained fever
- Unusual fatigue or joint pain
- Reduced baby movements
- Any vaginal bleeding or fluid leakage
“Never ignore your instincts,” says Dr. Deepika Doshi. “If something feels off, we’ll investigate and act quickly. Early action can save both mother and baby.”
FAQs About Autoimmune Conditions and Pregnancy
1. Can I plan a pregnancy if I have lupus or rheumatoid arthritis?
Absolutely. With six months of stable remission and proper preconception counseling, you can have a safe pregnancy.
2. Is breastfeeding safe after delivery?
Yes — most autoimmune medications are compatible with breastfeeding under supervision.
3. Will my baby inherit my condition?
Not necessarily. Genetic factors play a small role, but most babies are born completely healthy.
4. What helps reduce autoimmune flare-ups during pregnancy?
Adequate rest, a balanced diet, stress reduction, and consistent medical checkups.
5. How can I manage anxiety and fear during pregnancy?
Openly share your worries. Counseling, mindfulness, and a supportive doctor like Dr. Deepika Doshi make a world of difference.
Hope, Strength, and Motherhood Beyond Fear
Living with an autoimmune condition can feel unpredictable — but with compassionate guidance, preparation, and consistent care, pregnancy can still be a beautiful, empowering journey.
As Dr. Deepika Doshi, one of the best gynecologist in Mumbai, beautifully puts it:
“Your immune system may act differently, but your heart beats the same as every expectant mother’s — full of love, courage, and hope.”
📍 Clinic Addresses:
– Dhanvantari Hospital
Dhaval Apartment, Factory Lane, Near Railway Station, Borivali (West), Mumbai – 400092, Maharashtra, India.
📞 Call: 9324263464 / 022 2833 8378
✉️ Email: info@drdeepikadoshi.com
🌐 Visit: www.drdeepikadoshi.com
You don’t need to face pregnancy with fear — with the right support from the best gynecologist in Borivali, you can face it with faith, confidence, and joy.
