Preventive Approaches in Women's Neurology: Prepartum, Pregnancy, and Postpartum

Kirkpatrick, Laura; Waters, Janet; O’Neal, M. Angela

doi:10.1055/a-1958-0633

Cited by 3 publications

(3 citation statements)

References 102 publications

(206 reference statements)

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“…5 Further examples include advancements in understanding risks associated with neurologic medications in pregnancy for diseases such as epilepsy, migraine, and multiple sclerosis, as well as how pregnancy course may influence neurologic health outcomes such as long-term stroke risks. 6,7 Similar efforts in education have contributed to the development of a women's neurology training curriculum at some centers, established fellowship programs, and a growing community of women's neurology practitioners within the American Academy of Neurology (AAN). National research institutes also recognize the importance of including sex and gender issues with the NIH establishing public statements and policies to address these needs.…”

Section: History Of Women's Issues In Neurologymentioning

confidence: 99%

“…Graduates of women's neurology training have published on gaps in neurology research and education and advancing best-evidence clinical practice for women's neurologic care. 3,6,10 A women's neurology specialist could follow numerous career possibilities including community, academic, or hybrid practice models. Community- or regional-based clinics with a focus on women's health have been established by women's neurology graduates across the United States.…”

Section: Career Paths In Women's Neurologymentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Emerging Subspecialties in Neurology: Women's Neurology

Thornton,

LaHue,

Bove

et al. 2024

Neurology

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The influence of sex and gender on neurologic disease has become increasingly recognized in science and medicine. This is evident across a woman's lifespan especially during periods of hormonal transitions. Leaders in neurology have advocated for the importance of sex and gender-enriched clinical care, education, and research. The scope of women's neurology spans across a woman's life including puberty, adolescence, peripartum care, menopause, and aging. Women's neurology is a new subspecialty that aligns with a specific patient population and intersects with established neurology subspecialties and other specialties such as obstetrics, maternal fetal medicine, endocrinology, and psychiatry. Its establishment and collaboration with existing and emerging fields enables a more comprehensive approach to neurologic illness through the lens of sex and gender. Women's neurology is rapidly evolving through increased focus at academic centers, including expanded women's neurology curricula, dedicated women's neurology fellowship programs, improved understanding of sex and gender issues in neurosciences, and expansion of therapeutic options. Herein, we describe the history of the women's neurology field, emerging need for women's neurology specialists, information about training and career opportunities, and future directions.

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Section: History Of Women's Issues In Neurologymentioning

confidence: 99%

Section: Career Paths In Women's Neurologymentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Emerging Subspecialties in Neurology: Women's Neurology

Thornton,

LaHue,

Bove

et al. 2024

Neurology

Self Cite

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Lamotrigine and exogenous estrogen among females with epilepsy: A retrospective analysis of administrative claims data

Kirkpatrick,

Terman,

Harrison

et al. 2023

Epilepsy & Behavior

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Recommendations for the Treatment of Multiple Sclerosis in Family Planning, Pregnancy and Lactation in Switzerland: Immunotherapy

Graber,

Panchaud,

Legardeur

et al. 2024

CTN

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A large number of disease-modifying immunotherapies are available for the treatment of people with multiple sclerosis. Many disease-modifying immunotherapies show scarce or no safety data in pregnancy and breastfeeding and are labeled as being contraindicated during these periods in the Swiss summary of product characteristics. Some disease-modifying immunotherapies also have restrictions for male patients. Hence, family planning should always be considered in treatment decisions. If clinically necessary, the continuation of immunotherapy during pregnancy can be considered for some substances. In these situations, the “Good Off-Label Use Practice”, careful consideration of the benefit–risk profile, and interprofessional cooperation between the treating neurologist, obstetrician–gynecologist, and pharmacist/pharmacologist, ideally with the involvement of experienced centers, is necessary. Here, we present an update on disease-modifying immunotherapies in multiple sclerosis with a focus on family planning, pregnancy, and breastfeeding and provide consensus recommendations of the Medico-Scientific Advisory Board of the Swiss Multiple Sclerosis Society, the Swiss Neurological Society, and the Swiss Society for Gynecology and Obstetrics (represented by the Academy of Fetomaternal Medicine). These unified national recommendations are necessary, as guidelines from other countries differ and because of separate approval/reimbursement situations in Switzerland.

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Preventive Approaches in Women's Neurology: Prepartum, Pregnancy, and Postpartum

Cited by 3 publications

References 102 publications

Emerging Subspecialties in Neurology: Women's Neurology

Emerging Subspecialties in Neurology: Women's Neurology

Lamotrigine and exogenous estrogen among females with epilepsy: A retrospective analysis of administrative claims data

Recommendations for the Treatment of Multiple Sclerosis in Family Planning, Pregnancy and Lactation in Switzerland: Immunotherapy

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