Multiple sclerosis and pregnancy

被引:0
作者
Araujo Fernandes, Luis Roberto [1 ]
Fernandes, Rodrigo Pinto [2 ]
Fragoso, Yara Dadalti [3 ]
Lippi, Umberto Gazi [1 ]
机构
[1] Univ Metropolitana Santos IMES, Dept Gynecol & Obstet, Santos, SP, Brazil
[2] Univ Metropolitana Santos IMES, Santos, SP, Brazil
[3] Univ Metropolitana Santos UNIMES, Dept Neurol, Santos, SP, Brazil
来源
EINSTEIN-SAO PAULO | 2007年 / 5卷 / 02期
关键词
Pregnancy; Multiple sclerosis; Immunologic factors; Immunosuppressive agents;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: This review discusses aspects of the intention to become pregnant, pregnancy itself, delivery and the postpartum period in patients with multiple sclerosis. Methods: The search was done in the following databases: MEDLINE, THE COCHRANE LIBRARY, EMBASE, LILACS, SciSEARCH, and in references to the most relevant papers in the past ten years. The following terms were used for the research: multiple sclerosis, pregnancy, breastfeeding, beta interferon, glatiramer acetate. Results: Thirty three specific papers on this theme were found, including the international consensus on the treatment of multiple sclerosis. Themes like prenatal, delivery and postnatal management were analyzed. Conclusion: The articles highlight that treatment with immunomodulators is discouraged, and that corticosteroid pulsed therapy is recommended for eventual attacks. Breast feeding, though not encouraged is not formally contraindicated.
引用
收藏
页码:173 / 176
页数:4
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