The presence of autoimmune diseases in women of late reproductive age (35–45 years) significantly affects the course and outcomes of pregnancy. This article highlights the main principles of managing pregnancy in women of late reproductive age with autoimmune diseases. The mechanisms of the impact of autoimmune diseases on pregnancy, pregnancy planning, a multidisciplinary approach, individual risk assessment, cautious use of medications, and monitoring of maternal and fetal conditions are analyzed. In addition, principles for preventing possible complications during pregnancy and managing the postpartum period are presented. The results of the study are of great importance in ensuring safe pregnancy management and improving perinatal outcomes in this group of women.

late reproductive age, autoimmune diseases, pregnancy, multidisciplinary approach, perinatal complications.

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