Please visit our MS learning channel on Youtube, which provides hundreds of topics from our education programs, that were video-recorded and archived here: www.youtube.com/msviewsandnews -- Be empowered with MS news by registering with us: www.register.msviewsandnews.org

joomla ecommerce template -- Scroll left side of this blog for needed resources. Also, use our 'search by topic' tool, to find specific information.

Disclaimer: 'MS Views and News' DOES NOT endorse any products or services found on this blog. It is up to you to seek advice from your healthcare provider. The intent of this blog is to provide information on various medical conditions, medications, treatments, and procedures for your personal knowledge and to keep you informed of current health-related issues. It is not intended to be complete or exhaustive, nor is it a substitute for the advice of your physician. Should you or your family members have any specific medical problem, seek medical care promptly.

============================================================

Wednesday, October 8, 2014

MS Family Planning 201: Breastfeeding, DMTs, and the Risk of Postpartum Relapse


The risk of relapse is higher in the postpartum period, but there are conflicting suggestions for women with MS about reducing this risk. Can exclusive breastfeeding alone prevent relapses? How soon after delivery should DMTs be reintroduced? Are any DMTs safe to take while breastfeeding?

<em>Stillende Mütter</em> by Paula Modersohn-Becker (1876–1907).
Stillende Mütter by Paula Modersohn-Becker (1876–1907).
For any parent, the first few months after delivery are tumultuous—adapting to a new member of the family is tiring and stressful. These two elements make women with relapsing-remitting multiple sclerosis (RRMS) especially vulnerable to a postpartum relapse. While disease-modifying therapies (DMTs) have been shown generally to reduce relapse rates, none of them are indicated for use during lactation. Therefore, the question of when to restart DMTs postpartum remains a difficult one for physicians counseling MS patients who wish to breastfeed their children.

Trying to predict the risk of relapse for any one individual is very difficult. The risk factors for postpartum attacks include the level of disability, the prepregnancy relapse rate (Hughes et al., 2014), and the relapse rate during pregnancy (Coyle, 2014Vukusic et al., 2004). But even so, relapse rates in the prepregnancy year and during pregnancy combined only predict 21.5% (49/227) of relapses.


Continue Reading



~~~~~~~~~~~~~~~~~~~~
 Keep CURRENT and up to date, 
Sign-Up for our email
.

WATCH OUR Multiple Sclerosis recorded
 EDUCATIONAL VIDEOS by Topic: 

.


No comments: