Evidence map›Paper›PMID 31853368›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Pregnancy and multiple sclerosis: Risk of unplanned pregnancy and drug exposure in utero.

Andrew L Smith, Jeffrey A Cohen, Daniel Ontaneda, Mary Rensel

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Family planning in Argentinian women with multiple sclerosis: An important yet seldom approached issue.Multiple sclerosis journal - experimental, translational and clinical
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Andrew L SmithMellen Center for MS Treatment and Research, Cleveland Clinic, United States of America.ORCID https://orcid.org/0000-0001-8499-4820
Jeffrey A CohenMellen Center for MS Treatment and Research, Cleveland Clinic, United States of America.ORCID https://orcid.org/0000-0001-9245-9772
Daniel OntanedaMellen Center for MS Treatment and Research, Cleveland Clinic, United States of America.ORCID https://orcid.org/0000-0002-2838-9148
Mary RenselMellen Center for MS Treatment and Research, Cleveland Clinic, United States of America.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple sclerosis is a central nervous system demyelinating disease that affects women of reproductive potential. It is important to identify the frequency and risk factors of unplanned or disease-modifying therapy-exposed pregnancies to create interventions to reduce these.

methodsThis retrospective, single-center, observational chart review study aims to identify risk factors for unplanned pregnancy to identify a target population for family counseling.

resultsIn total, 63 live births in 45 patients (20 unplanned and 43 planned) were analyzed. The percentage of unplanned pregnancy was 32%. The proportion of those receiving family planning counseling was lower in the patients with unplanned pregnancies (

conclusionPrevention of unplanned pregnancy could lead to less disease-modifying therapy exposed pregnancies. This study suggests a targeted intervention of family planning counseling in younger, unmarried multiple sclerosis patients could potentially lead to less unintended in utero disease-modifying therapy exposure.

Indexed as

Multiple sclerosispregnancy

Identifiers

PMID31853368
PMCPMC6909269
OpenAlexW2996733674

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.