Date: June 18, 2019
Hosted by: Multiple Sclerosis Society of Canada
Presented by: A. Dessa Sadovnick, Professor of Medical Genetics & Neurology, University of British Columbia & Ms. Rebecca Scott Rawn
Part 1: Reproduction and Multiple Sclerosis
Multiple sclerosis (MS) preferentially affects females, with clinical onset and disease course mostly occurring during the reproductive years. Given advances in early diagnosis, there is no longer a long lag time from clinical onset to diagnosis. Thus, decision-making about reproductive options is a real world concern for individuals with this diagnosis. To date, there is virtually no prospective, population-based data on reproductive topics for MS. It is important to discuss relevant issues from the time pregnancy is being considered to the postpartum period (loosely defined as 12 months after delivery.
This webinar discusses various issues in the decision-making process about reproduction (“reproductive counselling”) including topics such as the safety of MS therapies, fertility, management of MS prior to conception until delivery, breastfeeding, MS relapses, and psychosocial considerations.
The ongoing Canada-wide project “CANPREG-MS” will be discussed and is designed to capture what is happening for all women with MS, regardless of clinical course, therapy, MS disease duration, and co-morbidities. This is in contrast to the existing “drug-specific exposure pregnancy registries”, (whether retrospective or prospective) which provide limited or no information on factors (e.g. maternal age, previous pregnancy history, family history, ethnicity, maternal age, etc.) that can potentially separately or together result in an adverse pregnancy outcome.
Part 2: Pregnancy and MS - My Experience
Rebecca Scott Rawn was diagnosed with MS in 2012, she was married in 2013, gave birth to her first child in 2014 and her second in 2016. Rebecca shares her experience of flare ups, meltdowns and workarounds as she managed through her pregnancies.
This session is hosted by the Multiple Sclerosis Society of Canada who gratefully acknowledges the support of Shoppers Drug Mart who provided an education grant making this webinar possible.