Pregnancy and neuromyelitis optica spectrum disorders: 2022 recommendations from the French Multiple Sclerosis Society

Sandra Vukusic; Romain Marignier; Jonathan Ciron; Bertrand Bourre; Mikael Cohen; Romain Deschamps; Maxime Guillaume; Laurent Kremer; Julie Pique; Clarisse Carra-Dalliere; Laure Michel; Emmanuelle Leray; Anne-Marie Guennoc; David Laplaud; Géraldine Androdias; Caroline Bensa; Kevin Bigaut; Damien Biotti; Pierre Branger; Olivier Casez; Elodie Daval; Cécile Donze; Anne-Laure Dubessy; Arnaud Kwiatkowski; Cécile Dulau; Françoise Durand-Dubief; Benjamin Hebant; Julien Lannoy; Adil Maarouf; Eric Manchon; Guillaume Mathey; Xavier Moisset; Alexis Montcuquet; Thomas Roux; Elisabeth Maillart; Christine Lebrun-Frenay

doi:10.1177/13524585221130934

Journal Articles Multiple Sclerosis Journal Year : 2023

Pregnancy and neuromyelitis optica spectrum disorders: 2022 recommendations from the French Multiple Sclerosis Society

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Sandra Vukusic

Function : Correspondent author
PersonId : 962598
ORCID : 0000-0001-7337-7122

Connectez-vous pour contacter l'auteur

Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center

Romain Marignier

Function : Author
PersonId : 1194084
IdHAL : romain-marignier
ORCID : 0000-0002-5967-2800

Hospices Civils de Lyon

Jonathan Ciron

Function : Author
PersonId : 795646
ORCID : 0000-0002-3386-6308
IdRef : 137599021

Institut Toulousain des Maladies Infectieuses et Inflammatoires

Bertrand Bourre

Function : Author

CHU Rouen

Mikael Cohen

Function : Author
PersonId : 755337
ORCID : 0000-0002-3985-1297

Romain Deschamps

Function : Author

Fondation Ophtalmologique Adolphe de Rothschild [Paris]

Maxime Guillaume

Function : Author

Laurent Kremer

Function : Author

Les Hôpitaux Universitaires de Strasbourg

Julie Pique

Function : Author

Centre de Référence des Maladies Inflammatoires Rares du Cerveau et de la Moelle

Clarisse Carra-Dalliere

Function : Author
PersonId : 781230
ORCID : 0000-0002-0985-3662

CHU Montpellier

Laure Michel

Function : Author

Centre d'Investigation Clinique [Rennes]

Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou]

Emmanuelle Leray

Function : Author
PersonId : 18386
IdHAL : emmanuelle-leray
ORCID : 0000-0001-8424-4499
IdRef : 099858185

École des Hautes Études en Santé Publique [EHESP]

Département Méthodes quantitatives en santé publique

Arènes: politique, santé publique, environnement, médias

Recherche sur les services et le management en santé

Collectif de recherche handicap, autonomie et société inclusive

Anne-Marie Guennoc

Function : Author

David Laplaud

Function : Author
PersonId : 1090012
ORCID : 0000-0001-6113-6938
IdRef : 081874901

Centre d’Investigation Clinique de Nantes

Géraldine Androdias

Function : Author

Caroline Bensa

Function : Author

Kevin Bigaut

Function : Author
PersonId : 1194085
ORCID : 0000-0002-5176-580X

Damien Biotti

Function : Author
PersonId : 1194086
ORCID : 0000-0003-0569-629X

Pierre Branger

Function : Author

Olivier Casez

Function : Author

Translational Innovation in Medicine and Complexity / Recherche Translationnelle et Innovation en Médecine et Complexité - UMR 5525

Elodie Daval

Function : Author

Cécile Donze

Function : Author

Anne-Laure Dubessy

Function : Author

Arnaud Kwiatkowski

Function : Author

Cécile Dulau

Function : Author

Françoise Durand-Dubief

Function : Author
PersonId : 172702
IdHAL : francoise-durand-dubief
ORCID : 0000-0002-2860-1700
IdRef : 15778911X

Benjamin Hebant

Function : Author

Julien Lannoy

Function : Author

Adil Maarouf

Function : Author
PersonId : 740274
IdHAL : adil-maarouf
ORCID : 0000-0002-6755-496X
IdRef : 164833250

Centre de résonance magnétique biologique et médicale

Eric Manchon

Function : Author

Guillaume Mathey

Function : Author

Xavier Moisset

Function : Author
PersonId : 769113
IdHAL : xavier-moisset
ORCID : 0000-0002-8799-0750

Alexis Montcuquet

Function : Author

Thomas Roux

Function : Author
PersonId : 1194087
ORCID : 0000-0002-6969-9943

Elisabeth Maillart

Function : Author
PersonId : 1164214
ORCID : 0000-0001-7699-0328

CHU Pitié-Salpêtrière [AP-HP]

Christine Lebrun-Frenay

Function : Author

Hôpital Pasteur [Nice]

Abstract

Background: In 2020, the French Multiple Sclerosis (MS) Society (SFSEP) decided to develop a national evidence-based consensus on pregnancy in MS. As neuromyelitis optica spectrum disorders (NMOSD) shares a series of commonalities with MS, but also some significant differences, specific recommendations had to be developed.Objectives: To establish recommendations on pregnancy in women with NMOSD.Methods: The French Group for Recommendations in Multiple Sclerosis (France4MS) reviewed PubMed and universities databases (January 1975 through June 2021). The RAND/UCLA appropriateness method, which was developed to synthesise the scientific literature and expert opinions on health care topics, was used to reach a formal agreement. Fifty-six MS experts worked on the full-text review and initial wording of recommendations. A sub-group of nine NMOSD experts was dedicated to analysing available data on NMOSD. A group of 62 multidisciplinary healthcare specialists validated the final proposal of summarised evidence.Results: A strong agreement was reached for all 66 proposed recommendations. They cover diverse topics, such as pregnancy planning, follow-up during pregnancy and postpartum, delivery routes, loco-regional analgesia or anaesthesia, prevention of postpartum relapses, breastfeeding, vaccinations, reproductive assistance, management of relapses, and disease-modifying treatments.Conclusion: Physicians and patients should be aware of the new and specific evidence-based recommendations of the French MS Society for pregnancy in women with NMOSD. They should help harmonise counselling and treatment practise, allowing for better individualised choices.

Keywords

Neuromyelitis optica breastfeeding disease modifying treatments pregnancy reproductive assistance

Domains

Santé publique et épidémiologie

SCD EHESP : Connect in order to contact the contributor

https://ehesp.hal.science/hal-03871563

Submitted on : Friday, November 25, 2022-11:15:06 AM

Last modification on : Monday, November 18, 2024-2:56:06 PM

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hal-03871563 , version 1 (25-11-2022)

Identifiers

HAL Id : hal-03871563 , version 1
DOI : 10.1177/13524585221130934
PUBMED : 36345839

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Sandra Vukusic, Romain Marignier, Jonathan Ciron, Bertrand Bourre, Mikael Cohen, et al.. Pregnancy and neuromyelitis optica spectrum disorders: 2022 recommendations from the French Multiple Sclerosis Society. Multiple Sclerosis Journal, 2023, 29 (1), pp.37-51. ⟨10.1177/13524585221130934⟩. ⟨hal-03871563⟩

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Pregnancy and neuromyelitis optica spectrum disorders: 2022 recommendations from the French Multiple Sclerosis Society

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