Skip to Content

Elective C-Sections, Induced Delivery Up for Moms With MS

THURSDAY, Feb. 4, 2021 -- Women with multiple sclerosis (MS) have no significant differences in severe adverse perinatal outcomes compared with the general population, but they do have an increased prevalence of elective cesarean section, induced delivery, and infants being small for gestational age, according to a study published online Feb. 3 in Neurology: Clinical Practice.

Johanna Balslev Andersen, from the University of Copenhagen in Denmark, and colleagues examined differences in pregnancy-related and perinatal outcomes in women with MS versus the general population. Data were included for 2,930 pregnancies in the study cohort and 56,958 in the comparison cohort.

The researchers observed no differences between the groups in pregnancy-related complications, emergency cesarean section, instrumental delivery, low Apgar score, stillbirth, preterm birth, or congenital malformations. The study cohort had a higher prevalence of elective cesarean section, induced delivery, and infants born small for gestational age (odds ratios, 1.89, 1.15, and 1.29, respectively), while the prevalence of signs indicating asphyxia was lower in the study cohort (odds ratio, 0.87).

"We think the reason more women with MS have babies by elective C-section or induced delivery may have to do with MS-related symptoms such as muscle weakness, spasticity, or fatigue that might affect the birth," a coauthor said in a statement. "Any of these could make a mom more tired and lead to delivery complications that could prompt the clinician and woman to take extra precautions."

Several authors disclosed financial ties to the pharmaceutical industry.

Abstract/Full Text (subscription or payment may be required)

© 2021 HealthDay. All rights reserved.

Posted: February 2021

Read this next

Treatment to Lower RA Disease Activity Feasible in Pregnancy

THURSDAY, Feb. 25, 2021 -- Low disease activity and remission are feasible goals for women with rheumatoid arthritis (RA) cared for with a modern treatment approach during...

Pediatric-Onset Multiple Sclerosis Tied to Lasting Social Consequences

WEDNESDAY, Feb. 24, 2021 -- Pediatric-onset multiple sclerosis (PoMS) is associated with less educational achievement, lower earnings, and greater use of disability benefits...

Children Conceived by ART Are Shorter, Lighter at Birth

TUESDAY, Feb. 23, 2021 -- Children conceived by assisted reproduction technology (ART) are shorter and lighter at birth than those conceived naturally, but have similar height and...

More News Resources

Subscribe to our Newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of in your inbox.