Intravenous immunoglobulins for the prevention of postpartum relapses in multiple sclerosis.
Mult Scler Relat Disord
; 38: 101519, 2020 Feb.
Article
en En
| MEDLINE
| ID: mdl-31756610
ABSTRACT
OBJECTIVES:
To evaluate the effect of intravenous immunoglobulins (IVIG) on prevention of postpartum relapses in women with relapsing-remitting multiple sclerosis (RRMS).METHODS:
This was a retrospective study performed in Ljubljana, Slovenia where the practice for all pregnant women with RRMS is to receive IVIG after the delivery (10â¯g monthly, during first 6 months after delivery) and in Zagreb, Croatia where no such practice exists. The following data were collected date of delivery, maternal age at delivery, year of the RRMS diagnosis, EDSS, disease modifying therapy prior to pregnancy, relapses in the year prior, during and in the period of one year after pregnancy.RESULTS:
Data on 132 pregnancies from 112 women (mean age at delivery 31.70±4.10, average disease duration 6.34±4.33) were analyzed. There was no association between the IVIG treatment and annualized relapse rate one year after the delivery (0.27â¯vs 0.38, rate ratio 1.409, 95% CI 0.764-2.598, pâ¯=â¯0.272). No risk factors for the postpartum relapse were identified (age at delivery, duration of RRMS, EDSS prior pregnancy, disease modifying therapy prior pregnancy, relapses in the year prior pregnancy, IVIG).CONCLUSION:
This study provides no evidence of benefit for postpartum administration of IVIG in women with RRMS.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trastornos Puerperales
/
Inmunoglobulinas Intravenosas
/
Esclerosis Múltiple Recurrente-Remitente
/
Prevención Secundaria
/
Factores Inmunológicos
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Mult Scler Relat Disord
Año:
2020
Tipo del documento:
Article
País de afiliación:
Eslovenia