Pregnancy and multiple sclerosis: the initial results from a Brazilian database

Author:

Fragoso Yara Dadalti1,Finkelsztejn Alessandro2,Comini-Frota Elizabeth Regina3,Gama Paulo Diniz da4,Grzesiuk Ansderson Kuntz5,Khouri Jussara Mathias Netto6,Alves-Leon Soniza Vieira7,Morales Rogério de Rizo8,Lana-Peixoto Marco Aurélio8,Rocha Cristiane Franklin da8

Affiliation:

1. Universidade Metropolitana de Santos, Brazil

2. Hospital de Clínicas de Porto Alegre, Brazil

3. Universidade Federal de Minas Gerais, Brazil

4. Pontifícia Universidade Católica de São Paulo, Brazil

5. Hospital Santa Rosa, Brazil

6. Universidade Católica do Paraná; Universidade Positivo, Brazil

7. Universidade Federal do Estado do Rio de Janeiro

8. Universidade Federal do Estado do Rio de Janeiro, Brazil

Abstract

PURPOSE: Pregnancy management poses an extra challenge to physicians and their multiple sclerosis (MS) patients. There are few papers reporting databases on the subject. METHOD: Brazilian database from nine MS clinical and research units, with complete data on 47 pregnant women (49 pregnancies). RESULTS: Despite relatively high exposure to MS medications, no birth defects were reported. Low birth weight and prematurity were similar to those for developing countries. Three complications may have been associated with these medications, while three others were considered to be of purely obstetric nature. CONCLUSION: Our results confirm previous findings on lower relapse rate during pregnancy and add to the present literature informing on data related to drug exposure.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Neurology (clinical)

Reference15 articles.

1. Rate of pregnancy-related relapse in multiple sclerosis;Confravreux C;N Eng J Med,1998

2. Evidence that pregnancy specific glycoproteins regulate T-Cell function and inflammatory autoimmune disease during pregnancy;Bebo Jr BF;Curr Drug Targets Inflamm Allergy,2005

3. Effects of human alpha-fetoprotein on human B and T lymphocyte proliferation in vitro;Murgita RA;Clin Exp Immunol,1978

4. Immunemodulation in multiple sclerosis patients treated with the pregnancy hormone estriol;Soldan SS;J Immunol,2003

5. Treatment of multiple sclerosis with the pregnancy hormone estriol;Sicotte NL;Ann Neurol,2002

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