Verlauf und Behandlung der Myasthenia gravis in der Schwangerschaft
Tóm tắt
Familienplanung und Kinderwunsch sind häufig diskutierte Fragen in der Myastheniesprechstunde, da die Erstmanifestation häufig in die Lebensphase der Familienplanung fällt. Schwangerschaft, Geburt und Stillen bei Myastheniepatientinnen sind zwar mit einigen Besonderheiten verbunden, stellen in der Regel aber kein nennenswert erhöhtes Risiko im Vergleich zu normaler Schwangerschaft, Geburt und Wochenbett dar. Immer wiederkehrende Fragen betreffen sowohl den Verlauf der Schwangerschaft als auch den Einfluss der Myasthenie und insbesondere der medikamentösen Therapie auf die Schwangerschaft und das ungeborene Kind bzw. das Neugeborene. Einen besonderen Stellenwert nimmt hierbei die Frage der Entbindung ein, da es nach wie vor weit verbreitet ist, Myastheniepatientinnen primär per sectio zu entbinden. Diese Übersicht soll als Grundlage für die individuelle Beratung und Betreuung von Myastheniepatientinnen dienen, die mit Kinderwunsch oder bereits eingetretener Schwangerschaft in die neurologische Sprechstunde kommen.
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