Multiple sclerosis: disease management post partum

Multiple sclerosis (MS) which affects more women than men resembles a problem of disease management during and after pregnancy. While pregnancy is not regarded to have an overall effect on the disease course and progression, an elevated risk of exacerbation has repeatedly been reported for untreated patients during the first 3 to 6 months after delivery. To prevent relapses different disease modifying therapies have been proposed in the past. These drugs are contraindicated or should be avoided during breastfeeding which is recommended as having a benefit on the infants' health especially in early life. Neurolog…