[The effect of pregnancy on multiple sclerosis].
I V ZakroyshschikovaT O SimanivD O ZemlyanayaA A TimofeevaMaria ZakharovaPublished in: Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova (2024)
Planning for pregnancy and possibility of disease modifying treatment (DMTs) is an important question in female patients of reproductive age who suffer from multiple sclerosis (MS). The frequency of refusals to plan pregnancy is 14%. This is due to numerous concerns about the course of pregnancy, its outcomes, as well as the possible effect of DMTs on the fetus and the probability of disease transmission to a child. The article discusses immunological reactions taking place in MS patients during pregnancy, which are protective in its nature. Data for all groups of DMTs regarding pregnancy planning, possible risks of their impact on fertility and teratogenicity is presented.
Keyphrases
- multiple sclerosis
- end stage renal disease
- preterm birth
- newly diagnosed
- chronic kidney disease
- pregnancy outcomes
- mass spectrometry
- prognostic factors
- ms ms
- mental health
- metabolic syndrome
- type diabetes
- machine learning
- risk assessment
- skeletal muscle
- electronic health record
- big data
- combination therapy
- childhood cancer