Abstract
Systemic lupus erythematosus (SLE) is an autoimmune disease that predominately affects women of reproductive age group. Pregnancy and its outcome are a major concern to most of the SLE patients. Concerns of the risk of disease flare during pregnancy and chances of fetal loss, adverse outcome to fetus and safety of the drugs used are to be addressed. The article emphasis the requirement and importance of pre pregnancy counseling in optimizing the maternal and fetal outcome in lupus pregnancy.