Recommendations about Multiple Sclerosis Management during Pregnancy, Partum and Post-Partum: Consensus Position of the Portuguese Multiple Sclerosis Study Group

Authors

  • Sónia Batista Serviço de Neurologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Faculdade de Medicina. Universidade de Coimbra. Coimbra. https://orcid.org/0000-0002-6081-6955
  • Ana Martins da Silva Serviço de Neurologia. Centro Hospitalar Universitário do Porto. Porto. Instituto Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto.
  • Maria José Sá Serviço de Neurologia. Centro Hospitalar de São João. Porto. Faculdade das Ciências da Saúde. Universidade Fernando Pessoa. Porto.
  • Lívia Sousa Serviço de Neurologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Faculdade de Medicina. Universidade de Coimbra. Coimbra.
  • João de Sá Serviço de Neurologia. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisboa. Faculdade de Medicina. Universidade de Lisboa. Lisboa.
  • Rui Pedrosa Serviço de Neurologia. Hospital dos Capuchos. Centro Hospitalar Lisboa Central. Lisboa.
  • João Cerqueira Serviço de Neurologia. Hospital de Braga. Braga. Escola de Medicina. Universidade do Minho. Braga.
  • Joaquim Pinheiro Serviço de Neurologia. Hospital de Vila Nova de Gaia. Centro Hospitalar Vila Nova de Gaia/Espinho. Vila Nova de Gaia.
  • Pedro Abreu Serviço de Neurologia. Centro Hospitalar de São João. Porto. Departamento de Neurociências Clínicas e Saúde Mental. Faculdade de Medicina. Universidade do Porto. Porto.
  • Rita Moiron Simões Serviço de Neurologia. Hospital Beatriz Ângelo. Loures.
  • José Vale Serviço de Neurologia. Hospital Beatriz Ângelo. Loures.

DOI:

https://doi.org/10.20344/amp.12777

Keywords:

Breast Feeding, Multiple Sclerosis, Postpartum Period, Pregnancy

Abstract

Multiple sclerosis typically affects young women of reproductive age. Therefore, all healthcare professionals involved in the follow-up of multiple sclerosis patients must be prepared to discuss pregnancy and breastfeeding issues and provide the best possible counselling. However, there are still many doubts and heterogeneous clinical approaches partly due to the lack of consensus and guidelines. Concerning the handling of disease modifying therapies during pregnancy and postpartum, existing uncertainties have been complicated by the increase in the number of treatments available in recent years. This article aims to present the state-of-the-art and provide guidance based on the best level of available evidence and expert opinion regarding the management of multiple sclerosis patients at different stages: pregnancy planning, pregnancy, partum, and the postpartum period.

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Published

2020-09-01

How to Cite

1.
Batista S, Martins da Silva A, Sá MJ, Sousa L, de Sá J, Pedrosa R, Cerqueira J, Pinheiro J, Abreu P, Simões RM, Vale J. Recommendations about Multiple Sclerosis Management during Pregnancy, Partum and Post-Partum: Consensus Position of the Portuguese Multiple Sclerosis Study Group. Acta Med Port [Internet]. 2020 Sep. 1 [cited 2024 Nov. 24];33(9):611-2. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12777

Issue

Vol. 33 No. 9 (2020): September

Section

Guidelines

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