OBJECTIVES: Multiple sclerosis (MS) often occurs in young women and the effect of obstetric anesthesia/analgesia on the disease is poorly understood. No previous study has investigated the course of the disease in women in labor in the Czech Republic. The aim of this study was to evaluate the occurrence or absence of relapses in the 6-month postpartum period in MS parturients with and without obstetric anesthesia/analgesia. MATERIALS AND METHODS: We retrospectively studied all deliveries (n = 58,455) at the University Hospital Brno from 2004 to 2013 and identified those of the women with an ICD-10 code G35 (MS) recorded anytime in their medical history (n = 428). We included only deliveries of women with confirmed diagnosis at the time of labor (n = 70). Statistical analysis was performed using the Fischer Exact Test. RESULTS: There were 70 deliveries of 65 women, including 45 vaginal deliveries and 25 Cesarean deliveries (16 under general anesthesia, 8 with epidural anesthesia and 1 with spinal anesthesia). Epidural obstetric analgesia was performed in 11 deliveries. There was no statistically significant difference in relapses between the vaginal delivery group (n = 15; 33%) and Cesarean section group (n = 10; 40%), p = 0.611. CONCLUSION: Neither delivery mode (vaginal vs Caesarean) nor type of obstetric anesthesia/analgesia was found to have any impact on the course of MS at 6 months postpartum in women with this condition.

1st Department of Neurology Medical Faculty of Masaryk University St Anne's University Hospital Brno Czech Republic

Department of Anaesthesiology and Intensive Care Medicine Medical Faculty of Masaryk University University Hospital Brno Brno Czech Republic

Department of Gynaecology and Obstetrics Medical Faculty of Masaryk University University Hospital Brno Brno Czech Republic

Department of Neurology Medical Faculty of Masaryk University University Hospital Brno Brno Czech Republic

Department of Paediatric Anaesthesiology and Intensive Care Medicine Medical Faculty of Masaryk University University Hospital Brno Brno Czech Republic

Institute of Biostatistics and Analysis Medical Faculty of Masaryk University Brno Czech Republic

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