Abstract
Answer D
Current evidence suggests that:
the relapse rate is stable or declines during pregnancy particularly in the third trimester the relapse rate increases during the first 3 months post-partum the relapse rate returns to pre-pregnancy rate 6 months post-partum there is no association between pregnancy and worsening of long-term disability there is no association between oral contraceptive use, breast-feeding, epidural analgesia or the number of pregnancies and MS relapses
Multiple Sclerosis: national clinical guideline for management in primary and secondary care (2003)
www.nice.org.uk/guidance/cg8/resources/cg8-multiple-sclerosis-full-guideline2