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Paper Information

Journal:   ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ)   NOVEMBER 2012 , Volume 15 , Number 6 (65); Page(s) 74 To 81.
 
Paper: 

PREGNANCY OUTCOMES IN WOMEN WITH MULTIPLE SCLEROSIS

 
 
Author(s):  FORUGHIPOUR A., SALMANI F.*, EINI A.
 
* DEPARTMENT OF NURSING, ISLAMIC AZAD UNIVERSITY, NAJAF ABAD BRANCH, ISFAHAN, IRAN
 
Abstract: 
Background: Multiple sclerosis, an immune-mediated demyelinating disorder, is one of the most common diseases of the central nervous system. Two-thirds of patients with multiple sclerosis are women in their child bearing age, 20s and 30s. Multiple sclerosis is followed by neurological disability in young people. The purpose of this study was to determine pregnancy outcomes in patients with multiple sclerosis and compare them with healthy pregnant women.
Materials and Methods: In this cohort study, 37 pregnant women with multiple sclerosis and 73 healthy pregnant women were compared in terms of pregnancy, child birth, and infant variables.
Patient information was collected through questionnaires and evaluated using independent t-test, Chisquare, and Mann-Whitney test.
Results: The results showed that pregnancy complications like preeclampsia and gestational symptoms in women with multiple sclerosis were higher than the control group (p=0.001).
Instrumental delivery was more in women with multiple sclerosis (p=0.05) and there was not a significant difference between the two groups in terms of neonatal outcomes.
Conclusion: The results of this study show that some of the complications of pregnancy are higher in women with multiple sclerosis. Also, normal delivery and instrumental vaginal delivery were more in women with multiple sclerosis that could be due to fatigue in this population. Hence, these findings should be taken into consideration in planning and managing pregnant patients.
 
Keyword(s): DELIVERY, MULTIPLE SCLEROSIS, NEONATAL, PREGNANCY OUTCOMES
 
References: 
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