Successful Pregnancy in Patient with Multiple Sclerosis and Intrathecal Baclofen Pump: A Case Report

Background: The use of Intrathecal Baclofen Pumps (ITBP) for spasticity in patients with Multiple Sclerosis (MS) has been widely reported. 

Objectives: Successful pregnancies and subsequent deliveries in patients with an implanted ITBP have been cited several times in the literature. However, there remains a lack of available knowledge on the incidence of multiple gestations and successful deliveries in Multiple Sclerosis patients who also have an ITBP. It is unclear if the limited cases of MS and pregnancy with an ITBP found in the literature stem from decreased frequency of reporting, or the rarity of occurrence.

Methods: The following case report details a single patient with Multiple Sclerosis and an ITBP, who successfully delivered two separate viable and healthy infants. 

Results: This multigravida, multipara patient with Multiple Sclerosis receiving ITBP therapy experienced a healthy term pregnancy which resulted in the delivery of two healthy infants.

Conclusions: This case study demonstrates that successful gestational outcomes are possible in MS patients whom also have an ITBP for the treatment of severe spasticity. It is important to continue to document successful outcomes in this specific patient population in order to better educate and advise pregnant individuals with both MS and ITBP.