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Pregnancy exposure to disease-modifying drugs in multiple sclerosis: a prospective study.

Authors
  • Cuello, Juan Pablo1
  • Salgado Cámara, Paula2
  • García Domínguez, José Manuel2
  • Lozano Ros, Alberto2
  • Mas Serrano, Miguel2
  • Martínez Ginés, María Luisa2
  • 1 Servicio de Neurología, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: [email protected]
  • 2 Servicio de Neurología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Type
Published Article
Journal
Medicina Clínica
Publisher
Elsevier
Publication Date
Mar 27, 2020
Volume
154
Issue
6
Pages
214–217
Identifiers
DOI: 10.1016/j.medcli.2019.05.026
PMID: 31420082
Source
Medline
Keywords
Language
Spanish
License
Unknown

Abstract

In multiple sclerosis (MS), foetal exposure to disease-modifying drugs (DMDs) carries varying degrees of risk. We sought to analyse the clinical and obstetric outcomes of MS patients (MSp) exposed to DMDs during pregnancy. Observational study. We analysed the clinical-obstetric data of a cohort MSp, who became pregnant between 2007-2017. They were prospectively followed up during pregnancy and postpartum. healthy pregnant women (HPW) and MSp unexposed to DMDs. Sixty-eight pregnancies in MSp. Fifty-six HPW. Thirteen MSp were exposed to DMDs during pregnancy. Obstetric outcome: 2 (15%) infants had low birth weight, no preterm deliveries. Fifty-five MSp were not exposed to DMDs: 22 (40%) discontinued DMD before pregnancy, 33(60%) naïve. Five infants (9%) had low birth weight and 7 (12%) were preterm. HPW: 56. Low birth weight 6 (11%), preterm delivery 6 (11%). There were no differences in relapse incidence during pregnancy-puerperium between MSp groups. There were no differences in birth weight, gestation time, delivery-caesarean section. We found no special obstetric morbidity in women exposed to DMDs. There were no significant differences in the clinical and obstetric variables analysed between pregnant women exposed to DMDs, unexposed, and HPW. Copyright © 2019 Elsevier España, S.L.U. All rights reserved.

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