This new proportion regarding pregnancies that have been exposed to DMTs additionally the result of volunteer maternity cancellation for almost all men and women exposed to help you service contraindicated during pregnancy try troubling and might become an effective reflection of total high frequency (52%) of unplanned pregnancies throughout the Colombian populace (38). This has been connected to the insufficient accessibility birth control measures, that will occur due to ill-effects, highest costs, occasional sexual intercourse, shortage of availableness, and you can disapproval from the companion, hence leading to their discontinuation, inconsistent otherwise incorrect use, and you can inability (39).
To the contrary, this has been stated that women who acquired counseling just before to be pregnant had a lower life expectancy regularity off unexpected pregnancies (40). So it counseling is to start by this new neurology session, as the neurologists is actually recognized by MS people once the fundamental resource of information to possess pregnancy planning (41).
Ergo, we envision this option of the reasons that will define publicity to DMTs while pregnant ‘s the barriers to get into formal neurological worry and you will, with this particular, inconsistent realize-up. For example traps may possibly occur due to specific options that come with the fresh Colombian healthcare program, resulting in disconnected care and attention which is linked to the continuity of deals ranging from insurance firms and you may medical care business (42).
Although not, it’s possible that pregnancies reported occurred simultaneously whenever entry to birth prevention methods and you can details about pregnancy into the MS customers and DMTs publicity is actually limited, and therefore, medical routine during the time cannot be evaluated from the newest standards.
Analysis limitations
Considering the COVID-19 pandemic, analysis range must be altered away from individually in order to phone surveys, and this creates an information bias. Yet not, the fresh studies were used by the an expert that have whom the players got currently interacted, making it likely that that it enjoy respondents to discuss such painful and sensitive issues a great deal more easily, and thus faster the potential for worry bias.
Another maximum ‘s the solutions prejudice, due to the fact that our authoritative heart draws patients which have probably more severe infection. It is evidenced for the sociodemographic regions of the fresh new surveyed people: % got higher levels of knowledge and just 15.6% got a decreased socioeconomic condition. This is different from the people interviewed in the united states within the 2015, in which 33.5% of females got large quantities of studies and you can 22.6% got a minimal socioeconomic reputation (18). Even after our sample getting generated at random, it may not feel user of your own MS inhabitants within town. And, all of our investigation might not have were able to detect the outcome of some of variables on the fertility needs, such as for instance a reputation natural otherwise caused abortions and usage of virility treatments. Talking about parameters which can dictate what number of pupils out-of the ladies surveyed and you will weren’t taken into consideration with the fertility preference investigation. However, it must be considered that Colombia is known as so you’re able to features a low prevalence away from MS (43, 44) and therefore this study sought to estimate the brand new reproductive regions of MS patients inside the Bogota.
Completion
Fertility choices aren’t notably on the medical details, however with the newest identified demographic products for females on standard society. Most women that have MS choose to not have students, and you may the vast majority of those go for contraception to help you limit pregnancies. The new UNFP in women having MS doesn’t differ from one to found in the general society, as there are a top frequency out-of connection with DMTs during pregnancy. Subsequent studies are must address the fresh new perceptions of women which have MS with the reproductive products.
Research accessibility statement
This new intense investigation giving support to the conclusions with the post would-be produced by people according to the requirements regarding Lookup Ethics Panel regarding Healthcare Universitario Nacional de Colombia.
