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


METHODS
We describe the counseling, multidisciplinary management, protocol, and successful pregnancy outcome of a 32-year-old woman with vascular EDS.


CONCLUSIONS
There 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.
Palmquist
Maria
M
Department of OB/GYN, Johns Hopkins, 600 N Wolfe Street, Phipps Bldg, Baltimore, Maryland 21287, USA. mariapalmquist@yahoo.com
Pappas
John G
JG
Petrikovsky
Boris
B
Blakemore
Karin
K
Roshan
Daniel
D
D000328:Adult; D036861:Delivery, Obstetric / Q000379:methods; D004535:Ehlers-Danlos Syndrome / Q000628:therapy*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000628:therapy*; D011256:Pregnancy Outcome; D011295:Prenatal Care; D016896:Treatment Outcome