Article Dans Une Revue Multiple Sclerosis Journal Année : 2023

Pregnancy and neuromyelitis optica spectrum disorders: 2022 recommendations from the French Multiple Sclerosis Society

1 CRNL - Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center
2 MIRCEM - Centre de Référence des Maladies Inflammatoires Rares du Cerveau et de la Moelle
3 CRNL-FORGETTING - Forgetting Processes and Cortical Dynamics
4 CRNL-GenCyTi - Plateforme de Neurobiologie Moléculaire, Cellulaire et Tissulaire
5 HCL - Hospices Civils de Lyon
6 UCBL - Université Claude Bernard Lyon 1
7 CRC-SEP Toulouse - Centre Ressources et Compétences sclérose en plaques (CRC-SEP) [CHU Toulouse]
8 Infinity - Institut Toulousain des Maladies Infectieuses et Inflammatoires
9 Service de neurologie [Rouen]
10 URRIS UR2CA - Unité de Recherche Clinique de la Côte d’Azur
11 Service de neurologie [Hôpital Fondation Adolphe de Rothschild]
12 CRC-SEP Alsace - Centre de Ressources et de Compétences sur la Sclérose en Plaques (CRC-SEP) [Strasbourg]
13 Département de Neurologie [Hôpital Gui de Chauliac - CHU Montpellier]
14 CIC - Centre d'Investigation Clinique [Rennes]
15 ARENES - Arènes: politique, santé publique, environnement, médias
16 EHESP - École des Hautes Études en Santé Publique [EHESP]
17 RSMS - Recherche sur les services et le management en santé
18 CHU Trousseau [Tours]
19 CIC Nantes - Centre d’Investigation Clinique de Nantes
20 HUS - Les Hôpitaux Universitaires de Strasbourg
21 Département Neurologie [CHU Toulouse]
22 Hôpital Côte de Nacre [CHU Caen]
23 CHUGA - Centre Hospitalier Universitaire [CHU Grenoble]
24 CHRU Besançon - Centre Hospitalier Régional Universitaire de Besançon
25 UTSB - Unité de traitement des signaux Biomédicaux
26 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
27 ICM - Institut du Cerveau = Paris Brain Institute
28 CHU Pitié-Salpêtrière [AP-HP]
29 UB - Université de Bordeaux
30 CREATIS - Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé
31 RMN et optique : De la mesure au biomarqueur
32 UCL - Université catholique de Lille
33 CEMEREM - Centre d'Exploration Métabolique par Résonance Magnétique [Hôpital de la Timone - APHM]
34 Neurologie, maladies neuro-musculaires [Hôpital de la Timone - APHM]
35 Centre Hospitalier de Gonesse
36 UHP - Université Henri Poincaré - Nancy 1
37 Neuro-Dol - Neuro-Dol
38 CHU Clermont-Ferrand
39 Hôpital Dupuytren [CHU Limoges]
40 Department of Neurology
Kevin Bigaut
Xavier Moisset
Thomas Roux
Elisabeth Maillart

Résumé

Background: In 2020, the French Multiple Sclerosis (MS) Society (SFSEP) decided to develop a national evidence-based consensus on pregnancy in MS. As neuromyelitis optica spectrum disorders (NMOSD) shares a series of commonalities with MS, but also some significant differences, specific recommendations had to be developed. Objectives: To establish recommendations on pregnancy in women with NMOSD. Methods: The French Group for Recommendations in Multiple Sclerosis (France4MS) reviewed PubMed and universities databases (January 1975 through June 2021). The RAND/UCLA appropriateness method, which was developed to synthesise the scientific literature and expert opinions on health care topics, was used to reach a formal agreement. Fifty-six MS experts worked on the full-text review and initial wording of recommendations. A sub-group of nine NMOSD experts was dedicated to analysing available data on NMOSD. A group of 62 multidisciplinary healthcare specialists validated the final proposal of summarised evidence. Results: A strong agreement was reached for all 66 proposed recommendations. They cover diverse topics, such as pregnancy planning, follow-up during pregnancy and postpartum, delivery routes, loco-regional analgesia or anaesthesia, prevention of postpartum relapses, breastfeeding, vaccinations, reproductive assistance, management of relapses, and disease-modifying treatments. Conclusion: Physicians and patients should be aware of the new and specific evidence-based recommendations of the French MS Society for pregnancy in women with NMOSD. They should help harmonise counselling and treatment practise, allowing for better individualised choices.
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Dates et versions

hal-04954569 , version 1 (18-02-2025)

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Citer

Sandra Vukusic, Romain Marignier, Jonathan Ciron, Bertrand Bourre, Mikael Cohen, et al.. Pregnancy and neuromyelitis optica spectrum disorders: 2022 recommendations from the French Multiple Sclerosis Society. Multiple Sclerosis Journal, 2023, 29 (1), pp.37-51. ⟨10.1177/13524585221130934⟩. ⟨hal-04954569⟩
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