How do you counsel pregnant patients with myasthenia gravis?

I generally discuss an action plan with female patients considering pregnancy, particularly emphasizing the importance of managing MG symptoms beforehand. Evidence indicates that patients under good control before pregnancy usually remain stable throughout.

Treatment for MG during pregnancy typically mirrors non-pregnant protocols. However, a potential increase in MG symptoms is more likely in the post-delivery weeks.

Oral pyridostigmine stands as the standard first-line treatment during pregnan...