Volume 8, Issue 1 (2023)
SJMR 2023, 8(1): 67-72 |
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Shafti V, Nateghi M R, Karimi-Mansourabad E. Multiple Sclerosis and Women's Reproductive Health: From Conception to Postpartum. SJMR 2023; 8 (1) : 7
URL: http://saremjrm.com/article-1-292-en.html
URL: http://saremjrm.com/article-1-292-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. & School of Medicine, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran.
Abstract: (483 Views)
Multiple sclerosis (MS) is a chronic neurological disorder affecting over 2.8 million individuals globally. The relapse rate of MS is typically reduced during late pregnancy but increases in the postpartum period. Historically, women with MS have been advised against pregnancy due to concerns about reproduction. Studies have examined the influence of childbirth methods on the risk of MS. Pregnant MS patients have several delivery and anesthesia options available to them. Vaginal delivery can be considered as a safe option unless there are specific obstetric indications for cesarean section. Neuraxial anesthesia, such as epidural anesthesia, can be used for pain management during delivery. Close monitoring of disease activity during pregnancy and the postpartum period is essential, and the use of DMTs should be carefully evaluated on an individual basis. Collaboration between the patient's neurologist and obstetrician is crucial to ensure optimal outcomes for both the mother and the baby. Also, further research is needed to understand the issues related to treatment during breastfeeding.
Article number: 7
Keywords: Multiple sclerosis (MS), Reproductive Health, Conception, Postpartum, Disease modifying therapy (DMT).
Article Type: Analytical Review |
Subject:
Pregnancy Care
Received: 2023/05/2 | Accepted: 2023/06/14 | Published: 2023/11/7
Received: 2023/05/2 | Accepted: 2023/06/14 | Published: 2023/11/7
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