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Pregnancy and Family Planning When Living With Myasthenia Gravis

Medically reviewed by John Sammis, D.O. on September 29, 2023
A pregnant woman, smiling and cradling her belly, stands beside a white crib with pillows. She wears a light blue cardigan over a white top.
3 min read

For individuals with Myasthenia Gravis (MG) who are considering pregnancy or family planning, there are unique considerations to keep in mind. MG is a chronic autoimmune neuromuscular disorder, and managing it during pregnancy requires careful planning and coordination with healthcare professionals. This article offers guidance on pregnancy and family planning for MG patients.

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Consulting Your Healthcare Team

Before embarking on a pregnancy journey, it's crucial to consult your healthcare team, which may include neurologists, obstetricians, and other specialists. They can help you assess the risks and benefits and tailor a plan that's safe for both you and your baby.

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Pregnancy and MG: Key Considerations

Managing MG during pregnancy involves considering the following:

  • Disease Activity: Discuss with your healthcare team how active your MG is and whether it's well-controlled. Pregnancy can affect the course of the disease.
  • Medication Management: Review your current medications with your healthcare provider. Some MG medications may need adjustments during pregnancy.
  • Monitoring: Expect more frequent check-ups and monitoring during pregnancy to ensure both your and your baby's well-being.
  • Delivery Planning: Discuss delivery options, as certain anesthesia methods might be safer for MG patients.
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Family Planning

For MG patients planning to start a family:

  • Medication Review: Review your medication regimen with your healthcare provider well in advance. Some medications may need to be adjusted or substituted with safer alternatives.
  • Fertility Considerations: Some MG treatments might impact fertility. Discuss any concerns with your healthcare team.
  • Support System: Build a strong support system with family and friends who can assist you during pregnancy and after childbirth.
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Pregnancy and MG Medications

MG medications may need to be adjusted during pregnancy to minimize potential risks to the developing fetus. Some medications used to treat MG can be harmful during pregnancy, while others are considered safer. Your healthcare provider will guide you through these adjustments and potential alternatives.

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During Pregnancy

Throughout pregnancy:

  • Regular Check-ups: Attend all prenatal appointments and follow your healthcare provider's recommendations closely.
  • Rest and Self-Care: Prioritize rest and self-care to manage MG symptoms and reduce stress.
  • Diet and Nutrition: Maintain a balanced diet to support your health and your baby's development.
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After Pregnancy

After childbirth, be prepared for potential fluctuations in MG symptoms. Discuss a post-pregnancy management plan with your healthcare team, and ensure that you have a support system in place to assist you during recovery.

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Conclusion

Pregnancy and family planning for MG patients require careful consideration and close collaboration with healthcare professionals. It's essential to have a well-thought-out plan in place to ensure both your health and the health of your baby. With the right guidance and support, many MG patients successfully navigate the journey to parenthood.

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