Alshehri Abdullah S, AlQahtani May H, AlZuabi Hana A, Alshahrani Waad S, Alamawi Halah O, Almandeel Aseel A, Al-Suwaidan Faisal A, Saleh Ahmed
From the Department of Obstetrics and Gynecology (Alshehri), Division of Neurology (Al-Suwaidan), Department of Medicine, Security Forces Hospital, from Princess Nourah Bint Abdulrahman University (AlQahtani, AlZuabi, Alshahrani, Alamawi, Al-Suwaidan), from King Abdullah bin Abdulaziz University Hospital (Almandeel), and from King Fahad Medical City (Saleh), Riyadh, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2025 Apr;30(2):150-156. doi: 10.17712/nsj.2025.2.20230122.
To explore the concerns among females in Riyadh city with multiple sclerosis (MS) regarding motherhood and pregnancy outcomes.
In this cross-sectional study, data were collected using an online questionnaire. Women who were aged 18-50 years and diagnosed with MS by a neurologist and had a disease duration of at least one year were included. The questionnaire consisted of 7 sections designed to collect information on the respondents' sociodemographic characteristics; past and current medical history; pre-pregnancy, pregnancy, and postpartum concerns; physical and psychological concerns about parenthood; and psychological and social support.
A total of 176 women were included in the final analysis. Fatigue was the most common MS symptom, reported by 85.2% of the respondents, and 58% of the respondents had concerns about their disease and medication having adverse effects on their pregnancy and fetal outcomes. We found a statistically significant association between the level of perceived social support and patient care during pregnancy and concerns that they would not be able to prepare food for their children (=0.037, respectively).
We have identified several significant concerns of Saudi women with MS related to various aspects of pregnancy, delivery, and fetal outcomes. These concerns may be linked to a lack of adequate knowledge on the subject. Thus, receiving appropriate counseling, information, and support could greatly benefit these women and result in a more positive and comfortable pregnancy and delivery experience.
探讨利雅得市患有多发性硬化症(MS)的女性对生育及妊娠结局的担忧。
在这项横断面研究中,使用在线问卷收集数据。纳入年龄在18 - 50岁之间、经神经科医生诊断为MS且病程至少一年的女性。问卷由7个部分组成,旨在收集受访者的社会人口学特征、既往和当前病史、孕前、孕期及产后担忧、为人父母的身体和心理担忧以及心理和社会支持方面的信息。
共有176名女性纳入最终分析。疲劳是最常见的MS症状,85.2%的受访者报告有此症状,58%的受访者担心自身疾病及药物会对妊娠和胎儿结局产生不良影响。我们发现,感知到的社会支持水平与孕期的患者护理以及担心自己无法为孩子准备食物之间存在统计学上的显著关联(分别为P = 0.037)。
我们确定了沙特患有MS的女性在妊娠、分娩和胎儿结局等各个方面的几个重大担忧。这些担忧可能与对该主题缺乏足够的了解有关。因此,接受适当的咨询、信息和支持可能会使这些女性受益匪浅,并带来更积极和舒适的妊娠及分娩体验。