{"id":418,"date":"2014-07-16T14:25:32","date_gmt":"2014-07-16T14:25:32","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/jnnp\/?p=418"},"modified":"2014-07-16T14:25:32","modified_gmt":"2014-07-16T14:25:32","slug":"pregnancy-and-ms-the-need-to-commence-treatment-post-partum","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/jnnp\/2014\/07\/16\/pregnancy-and-ms-the-need-to-commence-treatment-post-partum\/","title":{"rendered":"Pregnancy and MS.  The need to commence treatment post-partum?"},"content":{"rendered":"<p>While pregnancy is associated with a reduced risk of relapses, caution is required in the post-partum period.\u00a0 In this issue of JNNP, Portaccio and colleagues elegantly demonstrate an increased risk of relapse in the post-partum period. \u00a0 Greater disease activity before and during pregnancy were reported as predictors of an increased chance of a relapse in the post-partum period.\u00a0 Therapy with DMDs in the immediate post-partum period seemed to reduced risk of future relapse.<\/p>\n<p>&nbsp;<\/p>\n<p>Read more at http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract<\/p>\n<p>&nbsp;<\/p>\n<div id=\"slugline\"><cite><span id=\"article-slug-jnl-abbr\"><abbr class=\"slug-jnl-abbrev\" title=\"Journal of Neurology, Neurosurgery &amp; Psychiatry\"> Neurol Neurosurg Psychiatry<\/abbr> <\/span> <span class=\"slug-pub-date\">2014;<\/span><span class=\"slug-vol\">85<span class=\"cit-sep cit-sep-after-article-vol\">:<\/span><\/span><span class=\"slug-pages\">845-850 <\/span> <span class=\"slug-doi\" title=\"10.1136\/jnnp-2013-306054\"> doi:10.1136\/jnnp-2013-306054 <\/span> <\/cite><\/div>\n<ul class=\"subject-headings last-child\">\n<li>Multiple sclerosis<\/li>\n<\/ul>\n<ul class=\"series-titles\">\n<li>Research paper<\/li>\n<\/ul>\n<div class=\"article abstract-view \">\n<h1 id=\"article-title-1\">Postpartum relapses increase the risk of disability progression in multiple sclerosis: the role of disease modifying drugs<\/h1>\n<div class=\"contributors\">\n<ol id=\"contrib-group-1\" class=\"contributor-list\">\n<li id=\"contrib-1\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Emilio+Portaccio&amp;sortspec=date&amp;submit=Submit\">Emilio Portaccio<\/a><\/span><a id=\"xref-aff-1-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-1\">1<\/a>,<\/li>\n<li id=\"contrib-2\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Angelo+Ghezzi&amp;sortspec=date&amp;submit=Submit\">Angelo Ghezzi<\/a><\/span><a id=\"xref-aff-2-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-2\">2<\/a>,<\/li>\n<li id=\"contrib-3\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Bahia+Hakiki&amp;sortspec=date&amp;submit=Submit\">Bahia Hakiki<\/a><\/span><a id=\"xref-aff-1-2\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-1\">1<\/a>,<\/li>\n<li id=\"contrib-4\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Andrea+Sturchio&amp;sortspec=date&amp;submit=Submit\">Andrea Sturchio<\/a><\/span><a id=\"xref-aff-1-3\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-1\">1<\/a>,<\/li>\n<li id=\"contrib-5\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Vittorio+Martinelli&amp;sortspec=date&amp;submit=Submit\">Vittorio Martinelli<\/a><\/span><a id=\"xref-aff-3-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-3\">3<\/a>,<\/li>\n<li id=\"contrib-6\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Lucia+Moiola&amp;sortspec=date&amp;submit=Submit\">Lucia Moiola<\/a><\/span><a id=\"xref-aff-3-2\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-3\">3<\/a>,<\/li>\n<li id=\"contrib-7\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Francesco+Patti&amp;sortspec=date&amp;submit=Submit\">Francesco Patti<\/a><\/span><a id=\"xref-aff-4-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-4\">4<\/a>,<\/li>\n<li id=\"contrib-8\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Gian+Luigi+Mancardi&amp;sortspec=date&amp;submit=Submit\">Gian Luigi Mancardi<\/a><\/span><a id=\"xref-aff-5-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-5\">5<\/a>,<\/li>\n<li id=\"contrib-9\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Claudio+Solaro&amp;sortspec=date&amp;submit=Submit\">Claudio Solaro<\/a><\/span><a id=\"xref-aff-6-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-6\">6<\/a>,<\/li>\n<li id=\"contrib-10\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Maria+Rosaria+Tola&amp;sortspec=date&amp;submit=Submit\">Maria Rosaria Tola<\/a><\/span><a id=\"xref-aff-7-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-7\">7<\/a>,<\/li>\n<li id=\"contrib-11\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Carlo+Pozzilli&amp;sortspec=date&amp;submit=Submit\">Carlo Pozzilli<\/a><\/span><a id=\"xref-aff-8-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-8\">8<\/a>,<\/li>\n<li id=\"contrib-12\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Laura+De+Giglio&amp;sortspec=date&amp;submit=Submit\">Laura De Giglio<\/a><\/span><a id=\"xref-aff-8-2\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-8\">8<\/a>,<\/li>\n<li id=\"contrib-13\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Rocco+Totaro&amp;sortspec=date&amp;submit=Submit\">Rocco Totaro<\/a><\/span><a id=\"xref-aff-9-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-9\">9<\/a>,<\/li>\n<li id=\"contrib-14\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Alessandra+Lugaresi&amp;sortspec=date&amp;submit=Submit\">Alessandra Lugaresi<\/a><\/span><a id=\"xref-aff-10-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-10\">10<\/a>,<\/li>\n<li id=\"contrib-15\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Giovanna+De+Luca&amp;sortspec=date&amp;submit=Submit\">Giovanna De Luca<\/a><\/span><a id=\"xref-aff-10-2\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-10\">10<\/a>,<\/li>\n<li id=\"contrib-16\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Damiano+Paolicelli&amp;sortspec=date&amp;submit=Submit\">Damiano Paolicelli<\/a><\/span><a id=\"xref-aff-11-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-11\">11<\/a>,<\/li>\n<li id=\"contrib-17\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Maria+Giovanna+Marrosu&amp;sortspec=date&amp;submit=Submit\">Maria Giovanna Marrosu<\/a><\/span><a id=\"xref-aff-12-1\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-12\">12<\/a>,<\/li>\n<li id=\"contrib-18\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Giancarlo+Comi&amp;sortspec=date&amp;submit=Submit\">Giancarlo Comi<\/a><\/span><a id=\"xref-aff-3-3\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-3\">3<\/a>,<\/li>\n<li id=\"contrib-19\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Maria+Trojano&amp;sortspec=date&amp;submit=Submit\">Maria Trojano<\/a><\/span><a id=\"xref-aff-11-2\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-11\">11<\/a>,<\/li>\n<li id=\"contrib-20\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Maria+Pia+Amato&amp;sortspec=date&amp;submit=Submit\">Maria Pia Amato<\/a><\/span><a id=\"xref-aff-1-4\" class=\"xref-aff\" href=\"http:\/\/jnnp.bmj.com\/content\/85\/8\/845.abstract#aff-1\">1<\/a>,<\/li>\n<li id=\"contrib-21\" class=\"contributor\"><span id=\"collab-1\" class=\"collab\">for the MS Study Group of the Italian Neurological Society<\/span><\/li>\n<\/ol>\n<\/div>\n<\/div>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>While pregnancy is associated with a reduced risk of relapses, caution is required in the post-partum period.\u00a0 In this issue of JNNP, Portaccio and colleagues elegantly demonstrate an increased risk of relapse in the post-partum period. \u00a0 Greater disease activity before and during pregnancy were reported as predictors of an increased chance of a relapse [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/jnnp\/2014\/07\/16\/pregnancy-and-ms-the-need-to-commence-treatment-post-partum\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-418","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/418","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/comments?post=418"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/418\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/media?parent=418"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/categories?post=418"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/tags?post=418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}