Pregnancy, childbirth, and physical activity in women with multiple sclerosis Review article
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Published:
Dec 31, 2024
Keywords:
multiple sclerosis, pregnancy, physical activity, childbirth
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Abstract
Multiple sclerosis primarily affects women of reproductive age, posing unique challenges for medical teams in terms of pregnancy management, childbirth preparation, and physical activity planning. This article presents current guidelines on physical activity during pregnancy in both healthy women and those with multiple sclerosis, incorporating the latest research and recommendations from international scientific societies.
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References
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15. Artal R, O’Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med. 2003; 37(1): 6-12. http://doi.org/10.1136/bjsm.37.1.6.
16. Barakat R, Pelaez M, Montejo R et al. Exercise during pregnancy improves maternal health perception: a randomized controlled trial. Am J Obstet Gynecol. 2011; 204(5): 402.e1-7.
17. Pastò L, Portaccio E, Gori AM et al. Epidural analgesia, cesarean delivery and the risk of postpartum relapses in multiple sclerosis. Neurology. 2012; 79(13): 1369-74. http://doi.org/10.1212/WNL.0b013e31826d5eae.
18. leveland Clinic. Management of Multiple Sclerosis During Pregnancy.
19. ECTRIMS/EAN Guidelines.
20. American College of Obstetricians and Gynecologists. Exercise in Pregnancy. https://www.acog.org.
2. Wnuk M, Maluchnik M, Perwieniec J et al. Multiple sclerosis incidence and prevalence in Poland: Data from administrative health claims. Mult Scler Relat Disord. 2021; 55: 103162. http://doi.org/10.1016/j.msard.2021.103162.
3. Brola W, Fudala M, Flaga S et al. Ciąża i macierzyństwo u pacjentek z SM. Przegląd aktualnych zaleceń. Medycyna Praktyczna – Neurologia. 2014; wyd. specjalne: 39-45.
4. Podlecka-Piętowska A. Stwardnienie rozsiane nie jest przeciwwskazaniem do macierzyństwa. Menedżer Zdrowia. 2021.
5. Hellwig K, Correale J, Otero-Romero S et al. Expert consensus on pregnancy in women with multiple sclerosis: ECTRIMS and EAN guideline. J Neurol Neurosurg Psychiatry. 2020; 91(4): 327-36. http://doi.org/10.1136/jnnp-2019-322446.
6. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: Definitions and distinctions. Public Health Rep. 1985; 100(2): 126-31.
7. Motl RW, Sandroff BM. Benefits of exercise training in multiple sclerosis. Curr Neurol Neurosci Rep. 2015; 15(9): 62. http://doi.org/10.1007/s11910-015-0585-6.
8. El-Rafie MM, Khafagy GM, Gamal MG. Effect of aerobic exercise during pregnancy on antenatal depression. J Obstet Gynaecol Res. 2016; 42(3): 273-8.
9. ACOG Committee Opinion No. 804: Physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol. 2020; 135(4): e178-88.
10. Mottola MF, Davenport MH, Ruchat SM et al. 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med. 2018; 52(21): 1339-46. http://doi.org/10.1136/bjsports-2018-100056.
11. Panginikkod S, Rayi A, Cabrero FR et al. Uhthoff Phenomenon. StatPearls. StatPearls Publishing; Treasure Island (FL) 2023.
12. Cleveland Clinic. Exercise in MS.
13. National MS Society. Family Planning and Pregnancy With Multiple Sclerosis.
14. Casanova C, Lazzaro C, Trozzi F et al. Physical exercise in women with multiple sclerosis during pregnancy and post-partum: A feasibility study. Neurol Sci. 2021; 42(11): 4667-75.
15. Artal R, O’Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med. 2003; 37(1): 6-12. http://doi.org/10.1136/bjsm.37.1.6.
16. Barakat R, Pelaez M, Montejo R et al. Exercise during pregnancy improves maternal health perception: a randomized controlled trial. Am J Obstet Gynecol. 2011; 204(5): 402.e1-7.
17. Pastò L, Portaccio E, Gori AM et al. Epidural analgesia, cesarean delivery and the risk of postpartum relapses in multiple sclerosis. Neurology. 2012; 79(13): 1369-74. http://doi.org/10.1212/WNL.0b013e31826d5eae.
18. leveland Clinic. Management of Multiple Sclerosis During Pregnancy.
19. ECTRIMS/EAN Guidelines.
20. American College of Obstetricians and Gynecologists. Exercise in Pregnancy. https://www.acog.org.