Before Getting Pregnant
If you have MG and want to become pregnant, talk with your MG doctor first.
They'll help make a safe plan for you and your baby.
This includes discussing medication which might not be safe for the fetus.
During Pregnancy
Most MG treatments stay the same when you're pregnant.
If patients had good control prior to pregnancy, their MG should remain stable during pregnancy.
But after giving birth, some moms might feel worse for a bit.
Common MG medicines are okay, but some should be changed for the baby's safety.
Oral pyridostigmine (Mestinon®) is the drug of choice in pregnancy
IV anticholinesterase inhibitors (like pyridostigmine) should not be used
Prednisone is the immunosuppressant drug of choice in pregnancy
Surgery (thymectomy) should be postponed until after pregnancy
Having Your Baby
Choose a hospital that knows about MG.
Your MG and baby doctors should talk to each other.
It's best to avoid home births.
Your baby might need special care right after birth.
Labor Time
Most MG moms have normal births.
Talking to an anesthesiologist before labor commences is advised.
Some medicines for high blood pressure during pregnancy (e.g., magnesium sulfate), aren't good for MG moms.
After Birth
Some babies born to MG moms might feel weak for a few days (transient neonatal MG)
This is temporary.
They might need short-term help with breathing and eating.
They'll feel better once the antibodies passed from the mother (through the placenta) prior to birth, are broken down
You can read more information here
Disclaimer
Content has been taken from MGFA, adapted and clinically reviewed for accuracy.