Micturition syncope during pregnancy.
BACKGROUND
Micturition syncope is a relatively uncommon cause of sudden and temporary loss of consciousness. Most prevalent in older males, this condition is extremely rare in women.


METHODS
Two pregnant women presented with recurrent syncope. The syncopal events were more common in the early morning and were precipitated by the presence of a distended bladder, urinary urgency, assuming a standing position after either being supine or sitting, or associated with travel motion. Extensive neurology and cardiology evaluations were negative, and the events were considered consistent with micturition syncope. Both patients responded favorably to conservative voiding behavior modification measures throughout the remainder of pregnancy.


CONCLUSIONS
Micturition syncope during pregnancy may not be a rare occurrence. This potentially dangerous condition is amenable to voiding behavior modification measures.
Sherer
David M
DM
Division of Maternal-Fetal Medicine, The Department of Obstetrics and Gynecology, State University of New York (SUNY), Downstate Medical Center, and Long Island College Hospital, Brooklyn, New York 11203-2098, USA. dmsherer@aol.com
Santoso
Paul
P
Russell
Bernadith A
BA
Abulafia
Ovadia
O
D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy; D013575:Syncope / Q000209:etiology*; D014554:Urination