Clinical Care Gaps in the Management of Multiple Sclerosis Among Obstetric and Gynecologic Clinicians

BACKGROUND: Comprehensive management of multiple sclerosis (MS) requires a multispecialty approach. Routine health care must not be neglected but maintained in consideration of the complexity and variety of consequences of the disease process. This study assesses the confidence of obstetric and gynecological providers (OBGYNs) when caring for people with MS. METHODS: OBGYNs, including doctors, physician assistants, and advanced nurse practitioners within Hackensack Meridian Health, completed a survey assessing their comfort level with and knowledge of how to care for patients with MS. RESULTS: The survey was completed by 29.2% of eligible providers. Most reported that people with MS tend to have sexual and bladder dysfunction; contraceptive management does not change; and pregnancy influences the disease process. They were split regarding the risk of infertility in and the impact of menopause on people with MS. There were no statistically significant differences in the recommendations of providers of varying levels of experience on any topic. CONCLUSIONS: Provider recommendations, regardless of their level of experience, highlight the gaps in the available literature, indicating a need for further research to guide clinical management. Dedicated education on existing guidelines for OBGYN care for people with MS is necessary to improve provider comfort.