The Rate of Hospitalization of Pregnant Women with Multiple Sclerosis in Poland

Multiple sclerosis (MS) is most often diagnosed in women of childbearing age. Therefore, it is important to examine the impact of pregnancy on the course of MS and to enable patients to make decisions about motherhood based on reliable data. The main objective of this study was to assess the impact of pregnancy on the course of MS by comparing the frequency of MS-related hospitalizations during pregnancy and 40 weeks postpartum versus 40 weeks before pregnancy. We used administrative health claims to identify female patients with MS, their deliveries, and their MS-related hospital admissions and calculated the frequency of MS-related hospital admissions before, during, and after pregnancy. We observed that MS is diagnosed approximately three times less often during pregnancy than before or after pregnancy. The number of MS-related hospital admissions decreased during pregnancy, especially in the third trimester. In contrast with other studies, we did not observe an increased level of MS-related admissions postpartum. The number of hospitalizations reported with steroid injections and emergency department visits also decreased during pregnancy. Our results show that pregnancy has a protective effect on the course of MS.

Automated summary

This study assessed the impact of pregnancy on the course of multiple sclerosis (MS) by comparing the frequency of MS-related hospital admissions during pregnancy and postpartum periods with those before pregnancy. The study found that MS is diagnosed less often during pregnancy, and the number of MS-related hospital admissions decreased during pregnancy, especially in the third trimester. Unlike other studies, there was no observed increase in MS-related hospital admissions postpartum. The study also noted a decrease in the number of steroid injections and emergency department visits during pregnancy.