- Does MS affect my fertility?
- Will pregnancy affect the course of my MS?
- Will I be able to breast feed after delivery?
- How long before I fall pregnant must I stop my DMT?
- If I fall pregnant on a DMT will this affect the baby?
- Can I breast feed on my DMT?
- Will I be able to be a good parent if I become disabled from my MS?
- If I become disabled or unemployed as a result of MS will I be able to support my children?
- What is the risk of my children getting MS?
- Can I do anything to prevent them from getting MS?
- Am I more likely to need an assisted delivery because I have MS?
- Will I be able to have a normal vaginal delivery?
- Will I be able to have an epidural during labour?
- How you treat hyperemesis gravidarum during pregnancy?
- Should I continue taking my other drugs for my MS symptoms during pregnancy?
- What is the best treatment strategy for my MS? Should I go onto a DMT and get my MS under control before starting a family or should I first start my family?
- What is the best treatment strategy for my MS to maximise my chances of having a family and keeping my MS under control?
- How will having neutralizing anti-interferon beta antibodies affect my baby?
- Can I have IVF? Will the drugs that are used to induce ovulation affect my MS?
- What dose of vitamin D do you advise during pregnancy?
- Are oral contraceptive safer for my MS? Which contraceptive do you recommend?
BACKGROUND: MS preferentially affects females at childbearing age. For this reason MSers and treating physicians were frequently confronted with questions concerning family planning, pregnancy and birth.
OBJECTIVE: The aim of this study was to evaluate the expertise about pregnancy related topics in multiple sclerosis of neurologists in private practice.
METHODS: We developed a survey with 16 multiple choice questions about pregnancy related topics and sent it to neurologists in private practice in Berlin, Germany.
RESULTS: 56 completed questionnaires were sent back. 54% of all questions were answered correctly, 21% of the questions were answered with “I don’t know”. Correct answers were more often given by physicians who treat more than 400 MS patients per year (p = 0.001). Further positive associations were found for assumed relevance of the topic (p = 0.002) and the degree of counseling (p<0.001).
CONCLUSION: To provide a comprehensive counseling, MS patients with desire for children should be counselled by physicians with a lot of experience in MS treatment.