Document Detail

What can we really tell women with multiple sclerosis regarding pregnancy? A systematic review and meta-analysis of the literature.
MedLine Citation:
PMID:  21401856     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Although several papers report on pregnancy and multiple sclerosis (MS), no systematic review of the literature has been carried out. Neurologists and obstetricians need to have proper information to discuss with women presenting with MS who consider pregnancy.
OBJECTIVES: Literature review and meta-analysis of data on pregnancy in women with MS.
SEARCH STRATEGY: The present work followed the recommendations of the PRISMA Statement. Using the PICO framework, the authors independently searched for the terms 'pregnancy' OR 'gestation' OR 'pregnant' AND 'multiple sclerosis' OR 'MS' in the following databases: EMBASE/Excerpta Medica, Medline, Pubmed, Scopus, Index Medicus, Biomed Central, Ebsco Fulltext, LILACS, Scielo and the Cochrane Database of Systematic Reviews.
SELECTION CRITERIA: only papers presenting original work with analysis of at least one of the outcomes among pregnant women with MS were included.
DATA COLLECTION AND ANALYSIS: Two independent workers performed the literature review. All the authors selected and read the relevant papers. Two other authors summarised data for analysis.
MAIN RESULTS: Twenty-two papers reporting on 13,144 women with MS and their pregnancies were analysed. A significant decrease in relapse rate was observed during pregnancy, followed by a significant increase after delivery. Miscarriages, low birthweight, prematurity, neonatal death and malformations were assessed among these women and their offspring. There seems to be a regional influence on the rates of caesarean sections and abortions among women with MS. Neonatal death and malformation rates did not seem to be particularly high.
AUTHORS' CONCLUSIONS: The present work provides evidence-based data that can be discussed with women with MS and their relatives when pregnancy is considered by these families.
A Finkelsztejn; J B B Brooks; F M Paschoal; Y D Fragoso
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review     Date:  2011-03-15
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  118     ISSN:  1471-0528     ISO Abbreviation:  BJOG     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-13     Completed Date:  2011-11-18     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  790-7     Citation Subset:  AIM; IM    
Copyright Information:
© 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.
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MeSH Terms
Abortion, Spontaneous / epidemiology,  etiology
Cesarean Section / statistics & numerical data
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Multiple Sclerosis / complications,  epidemiology*
Pregnancy Complications / epidemiology*
Risk Assessment
Risk Factors
World Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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