Imy wife id 34 weeks pregnant. She has existing multiple sclerosis neuro problem. I think relapse has occurred as she is facing problem in walking and facing balance problem. Can she use solu medrol for this problem during pregnancy? And if we don't use this will there by any problem during delivery? Totally confused. What to do. Kindly help.

Dr. Priyanka SinghGynaecologist12yrs exp

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She needs to be on close follow up by the neurologist throughout pregnancy. Usually the course of multiple sclerosis is not worsened in pregnancy and she can continue solumedrol (prednisone) if she was taking it before pregnancy. It does not affect the baby. The baby growth needs to be monitored. She will need the steroid during labour too if she is taking it in pregnancy. She can have a normal delivery. She needs to be closely monitored till 3 months after delivery for any worsening of multiple sclerosis symptoms.  

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