Multiple Sclerosis and pregnancy: from planning to postpartum
Pregnancy in MS requires proactive planning, careful treatment timing, and multidisciplinary care to balance maternal disease control with fetal safety.
Family planning is a central concern for women living with multiple sclerosis, as the disease often affects patients during their reproductive years. Questions around pregnancy, treatment safety, and postpartum relapse risk require careful, individualized planning. With the right multidisciplinary approach and treatment strategies, pregnancy can be safely managed while minimizing risks for both mother and child.
Key Insights from the Lecture:
- Family planning is a key concern in MS care
- Pregnancies are not always planned
- Planning pregnancy reduces risks
- Multidisciplinary care is essential
- Treatment decisions must consider pregnancy goals
- Disease stability before pregnancy is critical
- Relapse risk decreases during pregnancy but increases postpartum
- Anti-CD20 therapies require timing considerations
- Ofatumumab allows flexible pregnancy planning
- Breastfeeding can be compatible with treatment
“Multiple Sclerosis and pregnancy: from planning to postpartum”.
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About the speaker:

Celia Oreja-Guevara
Vice Chair of Neurology and Head of Multiple Sclerosis Center at the University Hospital San Carlos, Madrid