Table 1.
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