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BMJ 2011; 342 doi: (Published 04 May 2011) Cite this as: BMJ 2011;342:d2709

Women who fear childbirth are significantly more likely to have had mental health issues necessitating psychiatric care than women without such fears (BJOG 2011, doi:10.1111/j.1471-0528.2011.02967.x). Fearful and non-fearful women differed significantly from each other with regard to psychiatric inpatient care, outpatient care, and the use of psychotropic medication. The most prevalent mental health disorders in both groups involved mood and anxiety, and the major predictors of the need for psychiatric input after childbirth were previous psychiatric input and a fear of childbirth.

Long term results from a phase I/II trial show that stem cell transplantation is not suitable for most people with multiple sclerosis, but that it could be reserved for more aggressive cases that are still in the inflammatory phase of the disease, and for the malignant form—in which it can be life saving (Neurology 2011;76:1066-70, doi:10.1212/wnl.0b013e318211c537). Progression free survival at 15 years was significantly higher in patients with active central nervous system involvement than in those without, as …

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