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Parity and secondary progression in multiple sclerosis
M Koch1, M Uyttenboogaart, D Heersema
1Department of Neurology, University Medical Center Groningen, Postbus 30.001, 9700RB Groningen, The Netherlands. m.w.koch@neuro.umcg.nl
Background:
Pregnancy has a well-documented effect on relapses in multiple sclerosis (MS), whereas little is known about the impact of pregnancy and childbirth on the risk of secondary progression.
Objective:
To investigate the association of parity and secondary progression in women with MS.
Methods:
The association of the number of births and secondary progression was studied in a hospital-based cohort of 277 women with MS. Data were analysed in a multivariable logistic regression model, with adjustment for possible confounders.
Results:
Parity was not independently associated with secondary progression, while the factors disease duration (OR per year increase: 1.05, 95% CI 1.03 to 1.09) and use of immunomodulatory treatments (OR 0.23, 95% CI 0.08 to 0.65) were independently associated with secondary progression.
Conclusion:
We found no evidence that parity influences the risk of secondary progression in MS. Further population-based studies on the association of pregnancy and childbirth on the long-term prognosis of MS are needed.
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