{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:36:08Z","timestamp":1790757368405,"version":"4.1.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Neurol"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1007\/s00415-025-13527-w","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T15:24:45Z","timestamp":1764084285000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Motherhood and diagnostic delay among women with multiple sclerosis"],"prefix":"10.1007","volume":"272","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3202-6921","authenticated-orcid":false,"given":"Alexandra","family":"Balshi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Dempsey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Kumbar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nova","family":"Manning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis T.","family":"Ford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ursela","family":"Baber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riley","family":"Bove","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob A.","family":"Sloane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"issue":"1","key":"13527_CR1","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1212\/CON.0000000000001108","volume":"28","author":"RM Bove","year":"2022","unstructured":"Bove RM, Houtchens MK (2022) Pregnancy management in Multiple Sclerosis and other demyelinating diseases. Continuum (Minneap Minn) 28(1):12\u201333. https:\/\/doi.org\/10.1212\/CON.0000000000001108","journal-title":"Continuum (Minneap Minn)"},{"issue":"6","key":"13527_CR2","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1097\/AOG.0000000000000541","volume":"124","author":"R Bove","year":"2014","unstructured":"Bove R, Alwan S, Friedman JM et al (2014) Management of multiple sclerosis during pregnancy and the reproductive years: a systematic review. Obstet Gynecol 124(6):1157\u20131168. https:\/\/doi.org\/10.1097\/AOG.0000000000000541","journal-title":"Obstet Gynecol"},{"issue":"16","key":"13527_CR3","doi-asserted-by":"publisher","first-page":"1668","DOI":"10.1212\/WNL.0000000000004508","volume":"89","author":"A Thormann","year":"2017","unstructured":"Thormann A, S\u00f8rensen PS, Koch-Henriksen N, Laursen B, Magyari M (2017) Comorbidity in multiple sclerosis is associated with diagnostic delays and increased mortality. Neurology 89(16):1668\u20131675. https:\/\/doi.org\/10.1212\/WNL.0000000000004508","journal-title":"Neurology"},{"issue":"2","key":"13527_CR4","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1212\/01.wnl.0000333252.78173.5f","volume":"72","author":"RA Marrie","year":"2009","unstructured":"Marrie RA, Horwitz R, Cutter G, Tyry T, Campagnolo D, Vollmer T (2009) Comorbidity delays diagnosis and increases disability at diagnosis in MS. Neurology 72(2):117\u2013124. https:\/\/doi.org\/10.1212\/01.wnl.0000333252.78173.5f","journal-title":"Neurology"},{"key":"13527_CR5","doi-asserted-by":"publisher","first-page":"103361","DOI":"10.1016\/j.msard.2021.103361","volume":"57","author":"F Patti","year":"2022","unstructured":"Patti F, Chisari CG, Arena S et al (2022) Factors driving delayed time to multiple sclerosis diagnosis: results from a population-based study. Mult Scler Relat Disord 57:103361. https:\/\/doi.org\/10.1016\/j.msard.2021.103361","journal-title":"Mult Scler Relat Disord"},{"issue":"3","key":"13527_CR6","doi-asserted-by":"publisher","first-page":"e200106","DOI":"10.1212\/NXI.0000000000200106","volume":"10","author":"EL Graham","year":"2023","unstructured":"Graham EL, Bakkensen JB, Anderson A et al (2023) Inflammatory activity after diverse fertility treatments: a multicenter analysis in the modern multiple sclerosis treatment era. Neurol Neuroimmunol Neuroinflamm 10(3):e200106. https:\/\/doi.org\/10.1212\/NXI.0000000000200106","journal-title":"Neurol Neuroimmunol Neuroinflamm"},{"issue":"2","key":"13527_CR7","doi-asserted-by":"publisher","first-page":"e959","DOI":"10.1212\/NXI.0000000000000959","volume":"8","author":"A Anderson","year":"2021","unstructured":"Anderson A, Krysko KM, Rutatangwa A et al (2021) Clinical and radiologic disease activity in pregnancy and postpartum in MS. Neurol Neuroimmunol Neuroinflamm 8(2):e959. https:\/\/doi.org\/10.1212\/NXI.0000000000000959","journal-title":"Neurol Neuroimmunol Neuroinflamm"},{"issue":"4","key":"13527_CR8","doi-asserted-by":"publisher","first-page":"e208100","DOI":"10.1212\/WNL.0000000000208100","volume":"102","author":"AM Radzik","year":"2024","unstructured":"Radzik AM, Amezcua L, Anderson A et al (2024) Disparities by Race in pregnancy care and clinical outcomes in women with Multiple Sclerosis: a diverse multicenter cohort. Neurology 102(4):e208100. https:\/\/doi.org\/10.1212\/WNL.0000000000208100","journal-title":"Neurology"},{"key":"13527_CR9","doi-asserted-by":"publisher","unstructured":"Gaur P, Ganguly AP, Kuo M, et al. (2024) Childcare needs as a barrier to healthcare among women in a safety-net health system [published correction appears in BMC Public Health 2024;24(1):1794]. BMC Public Health 24(1):1608. Published 2024 June 17. https:\/\/doi.org\/10.1186\/s12889-024-19125-1","DOI":"10.1186\/s12889-024-19125-1"},{"issue":"3","key":"13527_CR10","doi-asserted-by":"publisher","first-page":"J287","DOI":"10.1016\/j.jaut.2009.11.015","volume":"34","author":"AT Borchers","year":"2010","unstructured":"Borchers AT, Naguwa SM, Keen CL, Gershwin ME (2010) The implications of autoimmunity and pregnancy. J Autoimmun 34(3):J287\u2013J299. https:\/\/doi.org\/10.1016\/j.jaut.2009.11.015","journal-title":"J Autoimmun"},{"key":"13527_CR11","doi-asserted-by":"publisher","unstructured":"Vukusic S, Hutchinson M, Hours M, et al. (2004) Pregnancy and multiple sclerosis (the PRIMS study): clinical predictors of post-partum relapse [published correction appears in Brain 2004;127(Pt 8):1912].\u00a0Brain 127(Pt 6):1353\u20131360. https:\/\/doi.org\/10.1093\/brain\/awh152","DOI":"10.1093\/brain\/awh152"},{"issue":"4","key":"13527_CR12","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1089\/jwh.2008.1046","volume":"18","author":"MA Clark","year":"2009","unstructured":"Clark MA, Rogers ML, Armstrong GF et al (2009) Comprehensive cancer screening among unmarried women aged 40-75 years: results from the cancer screening project for women. J Womens Health 18(4):451\u2013459. https:\/\/doi.org\/10.1089\/jwh.2008.1046","journal-title":"J Womens Health"},{"issue":"3","key":"13527_CR13","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/s1049-3867(01)00078-0","volume":"11","author":"AB Bernstein","year":"2001","unstructured":"Bernstein AB (2001) Motherhood, health status, and health care. Womens Health Issues 11(3):173\u2013184. https:\/\/doi.org\/10.1016\/s1049-3867(01)00078-0","journal-title":"Womens Health Issues"},{"key":"13527_CR14","doi-asserted-by":"publisher","first-page":"174550572413094","DOI":"10.1177\/17455057241309495","volume":"20","author":"A Balshi","year":"2024","unstructured":"Balshi A, Bove R (2024) When fatigue postpartum is also prodromal. Womens Health 20:17455057241309496. https:\/\/doi.org\/10.1177\/17455057241309495","journal-title":"Womens Health"}],"container-title":["Journal of Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00415-025-13527-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00415-025-13527-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00415-025-13527-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T15:30:04Z","timestamp":1765812604000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00415-025-13527-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,25]]},"references-count":14,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["13527"],"URL":"https:\/\/doi.org\/10.1007\/s00415-025-13527-w","relation":{},"ISSN":["0340-5354","1432-1459"],"issn-type":[{"value":"0340-5354","type":"print"},{"value":"1432-1459","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,25]]},"assertion":[{"value":"19 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and\/or publication of this article: R.B. received research support from the National Institutes of Health, National Multiple Sclerosis Society, Hilton Foundation, California Initiative to Advance Precision Medicine, Tom Sherak Foundation, Biogen, Novartis and F. Hoffmann-La Roche Ltd\/Genentech; and personal compensation for consulting from Alexion, Biogen, EMDSerono, Novartis, Sanofi-Genzyme, F. Hoffmann-La Roche Ltd\/Genentech and TG Therapeutics. J.A.S. has grant funding from the National MS Society and has consulted for Biogen, Genentech, Teva, Banner, Sanofi, and Cellgene. The remaining authors have no conflicts to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interests"}}],"article-number":"784"}}