Respiratory Difficulty Necessitated Early Delivery in a Woman with Spondyloepiphyseal Dysplasia.
> Spondyloepiphyseal dysplasia is a skeletal disorder in which the vertebrae are flattened, thus making the spine shorter and greatly deformed, with marked thoracic kyphoscoliosis, lumbar lordosis, and a shortened trunk. The pelvis is also severely deformed and contracted. The patient was a 40-year-old nulligravida. At the 33rd week of pregnancy, respiratory distress gradually worsened, and cesarean section under spinal anesthesia had to be done. In women with spondyloepiphyseal dysplasia, uterine expansion is limited. As respiratory difficulties increase, an early delivery may have to be done.
Yoshimura
T
Department of Obstetrics and Gynecology, Kumamoto University School of Medicine, Kumamoto-city, Kumamoto 860-8556, Japan
Nakamura
T
Ito
M
Okamura
H