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. 2018 Aug 10;9(3):249–256. doi: 10.1007/s13167-018-0143-9

Table 1.

Published clinical series of pregnant NMOSD patients

Author Year Number of pregnancies Number of patients AQP4 antibody-positive patients Results
Bourre et al. [56] 2012 25 20 8/19 (53%)a Higher EDSS after pregnancy, no significant change in relapse rate during or following pregnancy
Kim et al. [29] 2012 54 40 40/40 (100%) Increased relapse rate in the first 6 months after delivery; high relapse risk in patients not undergoing treatment; high rate of elective abortions; one premature birth in the third trimester with malformations
Fragoso et al. [53] 2013 17 17 n.a. Higher EDSS after pregnancy; increased relapse rate in the first 3 months after delivery; no indications of malformation; diminished birth weight and length
Shimizu et al. [55] 2015 56 47 47/47 (100%) Increased relapse rate in the first 3 months after delivery; AQP4 antibodies found in newborns, no longer detectable after 1 or 3 months, as applies
Nour et al. [54] 2016 126 60 60/60 (100%) Increased relapse rate in the first 3 months after delivery; high rate of miscarriages (43%) for pregnancies after NMOSD onset, one child with hydrocephalus and permanent neurological disability
Klawiter et al. [52] 2017 46 31 25/31 (81%) Increased relapse rate in the first trimester and in the first 3 months after delivery

EDSS Expanded Disability Status Scale, AQP4-Ak aquaporin4 antibodies, NMOSD neuromyelitis optica spectrum disorder, n.a. not applicable

aAQP4-antibody serostatus only available for 19/20 patients