Discussion
We report a case of one woman over three consecutive courses of
pregnancy and childbirth complicated with HAM/TSP. There is no
evidence-based medical literature on managing pregnancy and childbirth
for pregnancies complicated by HAM/TSP. There are very few reports of
pregnancy complicated by HAM/TSP, in the first place. For this reason,
women with HAM/TSP in reproductive age and their family may hesitate to
get pregnant.
Regarding pregnancy and childbirth management in HAM/TSP patients, we
need to consider the followings: (1) fertility, (2) the impact of
pregnancy and childbirth on the disease, (3) the impacts of the disease
on the course of pregnancy and childbirth, (4) prevention of
mother-to-child HTLV-1 transmission, (5) maternal VTE prophylaxis.