阿根廷关于多发性硬化症患者计划生育与妊娠的共识性建议。
Consensus recommendations for family planning and pregnancy in multiple sclerosis in argentina.
作者信息
Liguori Nora Fernández, Alonso Ricardo, Pinheiro Amelia Alves, Balbuena María E, Barboza Andrés, Bestoso Santiago, Burgos Marcos, Cáceres Fernando, Carnero Contentti Edgar, Carrá Adriana, Cristiano Edgardo, Curbelo María C, Deri Norma, Fiol Marcela, Gaitán María I, Garcea Orlando, Halfon Mario, Hryb Javier, Jacobo Miguel, José Gustavo, Knorre Eduardo, López Pablo, Luetic Geraldine, Mainella Carolina, Martínez Alejandra, Miguez Jimena, Nofal Pedro, Pagani Cassará Fátima, Marcilla Marcela Parada, Piedrabuena Raúl, Pita Cecilia, Quarracino Cecilia, Rojas Juan I, Silva Berenice, Sinay Vladimiro, Steinberg Judith, Tarulla Adriana, Tavolini Darío, Tkachuk Verónica, Tizio Santiago, Villa Andrés, Vrech Carlos, Ysrraelit Célica, Patrucco Liliana
机构信息
Hospital Universitario Sanatorio Güemes, Buenos Aires, Argentina; Sección Neurología, Hospital Enrique Tornú, Buenos Aires, Argentina.
Hospital Universitario Sanatorio Güemes, Buenos Aires, Argentina; Centro Universitario de Esclerosis Múltiple, Hospital Dr. J. M. Ramos Mejía, Buenos Aires, Argentina.
出版信息
Mult Scler Relat Disord. 2020 Aug;43:102147. doi: 10.1016/j.msard.2020.102147. Epub 2020 May 4.
BACKGROUND
Multiple sclerosis (MS) is the most common chronic immune-mediated neurological disorder in young adults, more frequently found in women than in men. Therefore, pregnancy-related issues have become an object of concern for MS professionals and patients. The aim of this work was to review the existing data to develop the first Argentine consensus for family planning and pregnancy in MS patients.
METHODS
A panel of expert neurologists from Argentina engaged in the diagnosis and care of MS patients met both virtually and in person during 2019 to carry out a consensus recommendation for family planning and pregnancy in MS. To achieve consensus, the procedure of the "formal consensus-RAND/UCLA method" was used.
RESULTS
Recommendations were established based on published evidence and expert opinion focusing on pre-pregnancy counseling, pregnancy, and postpartum issues.
CONCLUSION
The recommendations of these consensus guidelines are intended to optimize the management and treatment of MS patients during their reproductive age in Argentina.
背景
多发性硬化症（MS）是年轻成年人中最常见的慢性免疫介导性神经疾病，女性比男性更易患病。因此，与妊娠相关的问题已成为MS专业人员和患者关注的对象。这项工作的目的是回顾现有数据，制定阿根廷首个关于MS患者计划生育和妊娠的共识。
方法
来自阿根廷的一组从事MS患者诊断和护理的专家神经科医生在2019年通过线上和线下方式会面，就MS患者的计划生育和妊娠进行共识推荐。为达成共识，采用了“正式共识 - 兰德/加州大学洛杉矶分校方法”。
结果
基于已发表的证据和专家意见，针对孕前咨询、妊娠及产后问题制定了相关建议。
结论
这些共识指南的建议旨在优化阿根廷MS患者生育年龄期间的管理和治疗。
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