A friend of mine, never having been diagnosed with or noticed any symptoms of lupus had a healthy, full term baby boy at a birthing center with a midwife.
Two yrs later got pregnant again, didn't go for prenatal care till 4 months. They couldn't find a heartbeat and sent her to the high-risk ob clinic at U. of Colo. Med Center. They found the heartbeat, but it was only 60 bpm (normal fetal rate is 120-160 bpm). They suspected lupus and she tested positive for ana specific to lupus (anti-RO and/or anti-LA and/or others I think). They said it was heart block, common to babies of lupus mothers. At 6 months she didn't feel the baby moving for 2 days. The heartbeat was down to 40, they delivered her immediately, but she had too many damaged organs and only lived about a day.
She didn't want that again so avoided pregnancy. They said if whatever the ana was that caused it went down, she might have a healthy baby. Ten years later, she got pregnant again and she had a healthy full term baby girl, named Victoria.