{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:41:56Z","timestamp":1760244116418,"version":"build-2065373602"},"reference-count":42,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T00:00:00Z","timestamp":1663891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Union"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Multiple sclerosis (MS) is most often diagnosed in women of childbearing age. Therefore, it is important to examine the impact of pregnancy on the course of MS and to enable patients to make decisions about motherhood based on reliable data. The main objective of this study was to assess the impact of pregnancy on the course of MS by comparing the frequency of MS-related hospitalizations during pregnancy and 40 weeks postpartum versus 40 weeks before pregnancy. We used administrative health claims to identify female patients with MS, their deliveries, and their MS-related hospital admissions and calculated the frequency of MS-related hospital admissions before, during, and after pregnancy. We observed that MS is diagnosed approximately three times less often during pregnancy than before or after pregnancy. The number of MS-related hospital admissions decreased during pregnancy, especially in the third trimester. In contrast with other studies, we did not observe an increased level of MS-related admissions postpartum. The number of hospitalizations reported with steroid injections and emergency department visits also decreased during pregnancy. Our results show that pregnancy has a protective effect on the course of MS.<\/jats:p>","DOI":"10.3390\/jcm11195615","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T01:41:58Z","timestamp":1664156518000},"page":"5615","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Rate of Hospitalization of Pregnant Women with Multiple Sclerosis in Poland"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9254-765X","authenticated-orcid":false,"given":"Dorota","family":"Walkiewicz","sequence":"first","affiliation":[{"name":"Department of Analysis and Strategy, Ministry of Health in Poland, 00-952 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo\u017cena","family":"Adamczyk","sequence":"additional","affiliation":[{"name":"Department of Neurology in Zabrze, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4482-498X","authenticated-orcid":false,"given":"Micha\u0142","family":"Maluchnik","sequence":"additional","affiliation":[{"name":"Department of Analysis and Strategy, Ministry of Health in Poland, 00-952 Warsaw, Poland"},{"name":"Department of Adult Neurology, Medical University of Gdansk, 80-211 Gdansk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jakub","family":"Perwieniec","sequence":"additional","affiliation":[{"name":"Department of Analysis and Strategy, Ministry of Health in Poland, 00-952 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krzysztof","family":"Podw\u00f3jcic","sequence":"additional","affiliation":[{"name":"Department of Analysis and Strategy, Ministry of Health in Poland, 00-952 Warsaw, Poland"},{"name":"Institute of Labour and Social Studies, 01-022 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mateusz","family":"Szel\u0105g","sequence":"additional","affiliation":[{"name":"Department of Analysis and Strategy, Ministry of Health in Poland, 00-952 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0451-1620","authenticated-orcid":false,"given":"Micha\u0142","family":"Zakrzewski","sequence":"additional","affiliation":[{"name":"Department of Analysis and Strategy, Ministry of Health in Poland, 00-952 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7019-6681","authenticated-orcid":false,"given":"Konrad","family":"Rejdak","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical University of Lublin, 20-059 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"S\u0142owik","sequence":"additional","affiliation":[{"name":"Department of Neurology, Jagiellonian University Medical College, 31-008 Krakow, Poland"},{"name":"Department of Neurology, University Hospital in Krakow, 30-688 Krakow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1090-7496","authenticated-orcid":false,"given":"Marcin","family":"Wnuk","sequence":"additional","affiliation":[{"name":"Department of Neurology, Jagiellonian University Medical College, 31-008 Krakow, Poland"},{"name":"Department of Neurology, University Hospital in Krakow, 30-688 Krakow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6894-9891","authenticated-orcid":false,"given":"Monika","family":"Adamczyk-Sowa","sequence":"additional","affiliation":[{"name":"Department of Neurology in Zabrze, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"620772","DOI":"10.3389\/fneur.2021.620772","article-title":"Family Planning Decision Making in People with Multiple Sclerosis","volume":"12","author":"Bonavita","year":"2021","journal-title":"Front. 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