Management of Parkinson's disease and other movement disorders in woman of childbearing age: Part 1

Introduction: The main challenge of Parkinson's disease in women of childbearing age is managing symptoms and drugs during pregnancy and breastfeeding. The increase in the age at which women are having children makes it likely that these pregnancies will become more common in future. Objectives...

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Bibliographic Details
Authors: Garcia-Ramos, R, Santos-Garcia, D, Alonso-Canovas, A, Alvarez-Sauco, M, Ares, B, Avila, A, Caballol, N, Carrillo, F, Sevilla, FE, Freire, E, Esteban, JCG, Legarda, I, Manzanares, LL, Valdes, EL, Martinez-Torres, I, Mata, M, Parees, I, Pascual-Sedano, B, Mir, P, Castrillo, JCM
Format: article
Status:Published version
Publication Date:2021
Country:España
Institution:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repository:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p4938
Online Access:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=4938
https://ddd.uab.cat/record/272104
Access Level:Open access
Keyword:Pregnancy
Breastfeeding
Parkinson's disease
Levodopa
Reproductive heatth
Description
Summary:Introduction: The main challenge of Parkinson's disease in women of childbearing age is managing symptoms and drugs during pregnancy and breastfeeding. The increase in the age at which women are having children makes it likely that these pregnancies will become more common in future. Objectives: This study aims to define the clinical characteristics of women of childbearing age with Parkinson's disease and the factors affecting their lives, and to establish a series of guidelines for managing pregnancy in these patients. Results: This consensus document was developed through an exhaustive literature search and a discussion of the available evidence by a group of movement disorder experts from the Spanish Society of Neurology. Conclusions: Parkinson's disease affects all aspects of sexual and reproductive health in women of childbearing age. Pregnancy should be well planned to minimise teratogenic risk. A multi-disciplinary approach should be adopted in the management of these patients in order to take all relevant considerations into account. (C) 2020 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L.U.