Exploring Patients’ Knowledge and Misconceptions about Multiple Sclerosis and Pregnancy
| Autor: | Sarah Flanagan Wesley, Stephen Krieger, Michelle Fabian |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Pregnancy business.industry General Neuroscience Multiple sclerosis medicine.disease 03 medical and health sciences 0302 clinical medicine medicine Physical therapy Neurology (clinical) 0305 other medical science Intensive care medicine business 030217 neurology & neurosurgery |
| Zdroj: | US Neurology. 12:34 |
| ISSN: | 1758-4000 |
| DOI: | 10.17925/usn.2016.12.01.34 |
| Popis: | Multiple sclerosis (MS) has a high incidence in women of childbearing age. Accurate understanding of family planning matters is crucial for best outcomes. Methods: Thirty-seven women with MS aged 18 to 50 completed an anonymous questionnaire at an MS Center in New York City. There were 22 questions pertaining to four main categories: effect of pregnancy on MS, effect of MS on pregnancy, MS medication safety during pregnancy and breastfeeding, and effect of MS on offspring. Results: Mean age of patients was 36 years (standard deviation [SD] ±5.6); 86% had relapsing-remitting (RRMS). Mean time since diagnosis was 6.7 years (SD±5.2); 30.6% had been pregnant since diagnosis. Average correct score was 32.8% (SD±20.3), and while higher in patients who had been pregnant since diagnosis, 40.5% (SD±24.7) versus 31.3% (SD±17.9), there was no statistically significant difference; p=0.21. Largest knowledge deficit pertained to effect of MS on reproduction: average score 27.7% (SD±10.1). Only 21.0% knew that relapses can be treated with steroids during pregnancy; 50.0% of those with prior pregnancy knew this fact. Thirtyfour percent of patients on disease-modifying therapies (DMTs) reported not consistently using birth control. Conclusions: Our data identified misconceptions on important reproductive topics. It is important that providers educate effectively their patients on matters of reproduction. |
| Databáze: | OpenAIRE |
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