Skip to main content

Pregnancy and myasthenia gravis.

Publication ,  Journal Article
Massey, JM; De Jesus-Acosta, C
Published in: Continuum (Minneap Minn)
February 2014

PURPOSE OF REVIEW: Myasthenia gravis (MG) is an acquired autoimmune disorder characterized by fluctuating ocular, limb, or oropharyngeal muscle weakness due to an antibody-mediated attack at the neuromuscular junction. The female incidence of MG peaks in the third decade during the childbearing years. A number of exacerbating factors may worsen MG, including pregnancy. When treatment is needed, it must be carefully chosen with consideration of possible effects on the mother with MG, the pregnancy, and the fetus. RECENT FINDINGS: Decisions are complex in the treatment of women with MG contemplating pregnancy or with presentation during pregnancy. While data is largely observational, a number of characteristic patterns and issues related to risk to the patient, integrity of the pregnancy, and risks to the fetus are recognized. Familiarity with these special considerations when contemplating pregnancy is essential to avoid potential hazards in both the patient and the fetus. Use of immunosuppressive agents incurs risk to the fetus. Deteriorating MG with respiratory insufficiency poses risk to both the mother and the fetus. SUMMARY: This article reviews available information regarding expectations and management for patients with MG in the childbearing age. Treatment decisions must be individualized based on MG severity, distribution of weakness, coexisting diseases, and welfare of the fetus. Patient participation in these decisions is essential for successful management.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Continuum (Minneap Minn)

DOI

EISSN

1538-6899

Publication Date

February 2014

Volume

20

Issue

1 Neurology of Pregnancy

Start / End Page

115 / 127

Location

United States

Related Subject Headings

  • Prenatal Exposure Delayed Effects
  • Pregnancy Complications
  • Pregnancy
  • Neurology & Neurosurgery
  • Myasthenia Gravis
  • Immunosuppressive Agents
  • Humans
  • Female
  • Disease Progression
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Massey, J. M., & De Jesus-Acosta, C. (2014). Pregnancy and myasthenia gravis. Continuum (Minneap Minn), 20(1 Neurology of Pregnancy), 115–127. https://doi.org/10.1212/01.CON.0000443840.33310.bd
Massey, Janice M., and Carolina De Jesus-Acosta. “Pregnancy and myasthenia gravis.Continuum (Minneap Minn) 20, no. 1 Neurology of Pregnancy (February 2014): 115–27. https://doi.org/10.1212/01.CON.0000443840.33310.bd.
Massey JM, De Jesus-Acosta C. Pregnancy and myasthenia gravis. Continuum (Minneap Minn). 2014 Feb;20(1 Neurology of Pregnancy):115–27.
Massey, Janice M., and Carolina De Jesus-Acosta. “Pregnancy and myasthenia gravis.Continuum (Minneap Minn), vol. 20, no. 1 Neurology of Pregnancy, Feb. 2014, pp. 115–27. Pubmed, doi:10.1212/01.CON.0000443840.33310.bd.
Massey JM, De Jesus-Acosta C. Pregnancy and myasthenia gravis. Continuum (Minneap Minn). 2014 Feb;20(1 Neurology of Pregnancy):115–127.

Published In

Continuum (Minneap Minn)

DOI

EISSN

1538-6899

Publication Date

February 2014

Volume

20

Issue

1 Neurology of Pregnancy

Start / End Page

115 / 127

Location

United States

Related Subject Headings

  • Prenatal Exposure Delayed Effects
  • Pregnancy Complications
  • Pregnancy
  • Neurology & Neurosurgery
  • Myasthenia Gravis
  • Immunosuppressive Agents
  • Humans
  • Female
  • Disease Progression
  • Adult