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Supplementary table 1. Planned and unplanned pregnancies: clinical outcomes during and after pregnancy and radiological outcomes after delivery.

Planned pregnancies, n=11

Unplanned pregnancies, n=16

p value

Age, years, median (IQR) 27 (24-32) 30 (28-37.8) 0.048

Disease duration at FTY start, years, median (IQR)

4 (0-6) 8.5 (4-12.5) 0.004

EDSS score, median (IQR) 1.5 (1.0-2.0) 2.0 (1.5-4.0) 0.007

BMI, Kg/m2 23.1 (3.8) 22.2 (2.8) 0.504

Naïve, n (%) 2 (18.2) 2 (12.5) 0.683

ARR one year before FTY 1.3 (0.8) 1.3 (0.6) 0.933

FTY exposure, years 3.4 (2.2) 2.6 (2.4) 0.368

Relapse last year on FTY 0 0.1 (0.3) 0.333

MRI activity last year on FTY, n (%) 5 (45.5) 3 (18.8) 0.135 Relapsing patients during pregnancy, n (%) 4 (36.4) 2 (12.5) 0.143

ARR during pregnancy 1.1 (1.5) 0.2 (0.5) 0.251

ARR one year after delivery 0.7 (0.6) 0.6 (0.8) 0.718

New/enlarging T2 lesions 7 (63.6) 10 (62.5) 0.952

Number of T2 lesions 0-2

≥3

6 (54.5) 5 (45.5)

11 (68.7) 5 (31.3)

0.453

Any Gd+ lesions 6 (54.5) 6 (37.5) 0.381

Number of GD+ lesions 0-2

≥3

7 (63.6) 4 (36.4)

14 (87.5) 2 (12.5)

0.143

Time from delivery to first MRI 63.0 (37.9) 71.8 (38.2) 0.560 All values are reported as mean (standard deviation) unless indicated otherwise. ARR: Annualized Relapse Rate; BMI: Body Mass Index; EDSS: Expanded Disability Status Score; FTY: fingolimod; MRI:

Magnetic Resonance Imaging; Gd+: Gadolinium enhancing.

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