Practical Considerations for Managing Pregnancy in Patients With Multiple Sclerosis: Dispelling the Myths.
Edith L GrahamRiley M BoveKathleen CostelloHeidi CraytonDina A JacobsSuma ShahFrancesca SorrellSharon S StollMaria K HoutchensPublished in: Neurology. Clinical practice (2024)
Management of family planning and pregnancy in patients with MS requires the most current information. Health care providers should discuss family planning early and frequently with patients with MS, and partners where practicable. Because management of pregnant people with MS will often require a risk/benefit analysis of their needs, shared decision-making in family planning discussions is emphasized. Additional data are needed for specific and underrepresented populations with MS (e.g., single parents or those from the LGBTQ+ community) and those at risk of racial and socioeconomic disparities in care. Pregnancy registries and the design and conduct of clinical trials focused on pregnant and lactating patients should provide additional data to guide the ongoing management of patients with MS.
Keyphrases
- mass spectrometry
- multiple sclerosis
- ms ms
- healthcare
- clinical trial
- preterm birth
- end stage renal disease
- pregnancy outcomes
- pregnant women
- newly diagnosed
- electronic health record
- ejection fraction
- chronic kidney disease
- big data
- peritoneal dialysis
- palliative care
- randomized controlled trial
- affordable care act
- patient reported outcomes
- quality improvement
- pain management
- artificial intelligence
- phase ii
- study protocol
- antiretroviral therapy