Autoimmune diseases including lupus and rheumatoid arthritis most commonly affect women in the childbearing ages. These diseases require aggressive management with medications to calm down the immune system to avoid long-term permanent damage on joints and other organs including the kidneys, lungs, heart, brain and skin. The diseases need to be controlled throughout pregnancy which means medications must often be continued throughout this time. When the diseases are not well-controlled, the outcomes for the mother and baby can be poor, including smaller babies and earlier birth. Long-term impacts on the baby are not well studied but an important area of interest. We aim to continue evaluating our patients over time and look at them individually by collecting the information about their disease from their clinic visits as well as looking at the whole province to get a sense of the outcomes for mother and baby from the population view point.