[Pregnancy and Ehlers-Danlos vascular syndrome: patients' care and complications]. / Grossesse et syndrome d'Ehlers-Danlos vasculaire : prise en charge et complications.
J Gynecol Obstet Biol Reprod (Paris)
; 42(2): 159-65, 2013 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-23040267
ABSTRACT
INTRODUCTION:
Elhers-Danlos vascular syndrome type IV (EDS4) is a hereditary pathology of the connective tissue responsible for an increased risk of lethal arterial, uterine and digestive complications during and after pregnancy. PATIENTS ANDMETHODS:
We describe the obstetrical care, the nature and frequency of complications related to pregnancy of patients with EDS4 and their relatives.RESULTS:
Twenty-seven pregnancies were studied including 23 deliveries, 18 vaginal deliveries and five caesarean, no maternal death and two major life-threatening complications (8.7%) were recorded which could be directly linked to EDS4 (rupture of the biscupid valve pillar after vaginal delivery and a rupture of the caecum after a prophylactic caesarean). Ten deliveries underwent epidural anesthesia without complication. Six perineal injuries (33.3%) were observed.CONCLUSION:
Pregnancy in patient with EDS4 needs obstetrical cares in a special unit's motivated medical team with intensive care and surgical disponibilities.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Resultado da Gravidez
/
Síndrome de Ehlers-Danlos
Idioma:
Fr
Ano de publicação:
2013
Tipo de documento:
Article