• J. Matern. Fetal. Neonatal. Med. · Oct 2009

    Review Case Reports

    Successful pregnancy outcome in Ehlers-Danlos syndrome, vascular type.

    • Maria Palmquist, John G Pappas, Boris Petrikovsky, Karin Blakemore, and Daniel Roshan.
    • Department of OB/GYN, Johns Hopkins, 600 N Wolfe Street, Phipps Bldg, Baltimore, Maryland 21287, USA. mariapalmquist@yahoo.com
    • J. Matern. Fetal. Neonatal. Med. 2009 Oct 1;22(10):924-7.

    BackgroundEhlers-Danlos syndrome (EDS) is a rare connective tissue disorder characterized by tissue fragility, translucent skin and joint hypermobility. Patients with the vascular type of EDS are prone to spontaneous arterial and visceral rupture. Pregnancy for women with vascular EDS can be life-threatening. Mortality rates are high due to the increased risk for uterine and arterial rupture in the peripartum period.CaseWe describe the counseling, multidisciplinary management, protocol, and successful pregnancy outcome of a 32-year-old woman with vascular EDS.ConclusionThere is no consensus in the literature on the timing and mode of delivery for pregnant women with vascular EDS. The management undertaken in our patient may assist others in optimizing the perinatal outcome in other women who elect to continue their pregnancy despite the risks of this severe medical condition.

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