多发性硬化和计划生育:对患者体验的调查研究
Erin E Kelly1, Casey Engel1, Rylan Pearsall1
1Virginia Commonwealth University School of Medicine (EEK), Richmond; Virginia Tech Carilion School of Medicine (CE), Roanoke; College of Arts and Sciences (RP); Division of Child Neurology (JNB), Department of Neurology, University of Virginia, Charlottesville; UCSF Weill Institute for Neurosciences (RB), University of California San Francisco; and Virginia Commonwealth University (UO, MDG).
Neurology. Clinical practice
|December 27, 2023
概括
患有多发性硬化症 (MS) 的女性经常因为疾病问题而推迟或避免怀孕,但随着时间的推移,咨询得到了改善. 需要进一步改进为MS妇女提供计划生育指导.
科学领域:
- 神经学 神经学
- 生殖健康 生殖健康
- 妇女健康 妇女健康
背景情况:
- 多发性硬化症 (MS) 经常影响生育年龄的女性.
- 计划生育,怀孕和产后护理是MS妇女的关键讨论.
研究的目的:
- 评估MS诊断对女性生殖决策的影响.
- 评估MS患者与怀孕有关的咨询.
- 检查MS妇女的怀孕和产后趋势.
主要方法:
- 在弗吉尼亚大学和VCUMS诊所对被诊断患有MS的妇女进行了调查研究.
- 收集了有关多发性硬化症,妊娠史和避免怀孕的原因的数据.
- 评估了多胎妊娠患者的咨询和怀孕/产后经验.
主要成果:
- 大多数受访者 (79.3%) 在MS诊断后没有怀孕.
- 多发性硬化症的担忧影响了20.1%的避孕决定.
- 神经科医生咨询率随着时间的推移显著增加 (40%至83.3%).
- 在诊断后的怀孕中,母乳养率为71.4%.
结论:
- 关于计划生育和怀孕的MS妇女的指导已经发展.
- 在MS/怀孕咨询和管理方面的改善是显而易见的.
- 仍然有机会为考虑怀孕的多发性硬化症妇女加强咨询.
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