Individuals with hidradenitis suppurativa (HS) face significantly higher risks during pregnancy and beyond, according to a recent study. The research, encompassing 1.3 million deliveries in Quebec from 2006 to 2022, found mothers with HS were more likely to experience complications than those without HS. Specifically, those with HS were:

• 1.55 times more likely to develop hypertensive disorders of pregnancy — Hypertensive disorders of pregnancy involve dangerously high blood pressure that can harm both the parent and the baby.
• 1.61 times more likely to develop gestational diabetes — Gestational diabetes is a condition in which blood sugar levels become too high during pregnancy, potentially causing complications for both the parent and the baby.
• 1.38 more times likely to develop severe maternal morbidity — Severe maternal morbidity refers to life-threatening health complications during or after pregnancy, such as severe bleeding, infections, or organ damage.

Additionally, babies born to individuals with HS had higher rates of preterm birth (1.28 times) and birth defects (1.29 times).

Furthermore, mothers with HS and their children showed increased long-term risks of hospitalization for respiratory issues, such as asthma or lung infections, and metabolic conditions, like diabetes or obesity.

Why Prenatal Care Matters With HS

Researchers weren’t certain why living with HS increased these risks, but they suggested that chronic inflammation and related health conditions, like obesity or insulin resistance, could play a role. Other inflammatory conditions, such as rheumatoid arthritis and lupus, have also been linked to similar pregnancy and long-term health risks.

The study’s findings highlight the importance of enhanced monitoring and medical care during and after pregnancy for those with HS. While the risks are higher compared to those of the general population, many individuals with HS have healthy pregnancies and babies. If you have HS and are planning to become pregnant or are already pregnant, discussing these findings with your healthcare provider can help you develop a care plan tailored to your needs.

Find Your Team

On myHSteam, the social network for people living with HS and their loved ones, members come together to ask questions, give advice, and share their stories with others who understand life with HS.

Have you experienced pregnancy-related complications? How have they impacted your life? What tips do you have for others? Share your tips and experiences in a comment below, start a conversation on your Activities page, or connect with like-minded members in Groups.