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Articles linked to this work by shared authors, journal, and citation graph.

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A predictive tool for early treatment escalation after initiation of moderate-efficacy therapy in pediatric-onset multiple sclerosis.

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Updated: Sep 21, 2025

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[Multiple sclerosis and pregnancy].

Élisabeth Maillart1, Caroline Papeix1

  • 1"Département de neurologie, centre de ressources et de compétences SEP, hôpital de la Pitié-Salpêtrière, AP-HP, Paris, France".

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|May 31, 2022
PubMed
Summary
This summary is machine-generated.

Planning pregnancy with multiple sclerosis (MS) is crucial. Pregnancy does not worsen long-term disability, but postpartum relapse risk is linked to pre-pregnancy activity. Stabilizing MS before conception is recommended.

Keywords:
Multiple SclerosisPregnancy

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Area of Science:

  • Neurology
  • Reproductive Medicine

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease.
  • Pregnancy is a consideration for women with MS.

Purpose of the Study:

  • To provide guidance on managing pregnancy in women with multiple sclerosis.
  • To address concerns regarding long-term disability, relapse risk, and treatment during and after pregnancy.

Main Methods:

  • Review of existing literature and clinical guidelines.
  • Analysis of factors influencing pregnancy outcomes and disease management in MS patients.

Main Results:

  • Pregnancy does not lead to long-term worsening of disability in MS patients.
  • Postpartum relapse risk is associated with pre-pregnancy relapse rates, emphasizing the need for pre-conception stabilization.
  • Treatment decisions during preconception and pregnancy require balancing risks to mother and child.

Conclusions:

  • Pregnancy can be safely managed in women with MS with careful planning.
  • Postpartum care should consider individual relapse risk, and breastfeeding decisions depend on disease severity and medication.
  • There are currently no proven methods to prevent postpartum relapses.