Pregnancy and Multiple Sclerosis

It can be difficult to deal with pregnancy and multiple sclerosis at the same time. However, studies have found no direct link between the course of a woman's pregnancy and multiple sclerosis or any adverse effects on labor, or delivery. At times, the physical limitations that multiple sclerosis can cause may make child care more difficult.

Multiple Sclerosis During Pregnancy

While there is no good evidence that daily stress or trauma affects the course of multiple sclerosis (MS), there is data on the influence of pregnancy. Since multiple sclerosis generally strikes during childbearing years, a common concern among women with the disease is whether or not to have a baby.
 
Studies on the subject have shown that multiple sclerosis has no adverse effects on the course of pregnancy, labor, or delivery. In fact, a woman's symptoms often stabilize or lessen during pregnancy.
 
This temporary improvement is thought to be related to changes in a woman's immune system that allow her body to carry a baby. Since every fetus has genetic material from the father as well as the mother, the mother's body should identify the growing fetus as foreign tissue and try to reject it in much the same way the body seeks to reject a transplanted organ. To prevent this from happening, a natural process takes place to suppress the mother's immune system in the uterus during pregnancy.
 

Pregnancy and Multiple Sclerosis: Medications

Women with multiple sclerosis who are considering pregnancy need to be aware that certain drugs used to treat multiple sclerosis should be avoided during pregnancy and while breast-feeding.
 These drugs can cause birth defects and can be passed to the fetus through blood and to an infant through breast milk.
 
Some of the medications to avoid include:
 
(Pregnancy and Multiple Sclerosis Continued: Page 2)
Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD
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