title: Management of labor and delivery in a woman with Morquio syndrome.
abstract: Morquio syndrome, a congenital mucopolysaccharidosis, presents several challenges for the provision of effective labor analgesia. We report the case of a woman admitted for induction of labor who received an early epidural and subsequently required cesarean delivery. Optimal bilateral labor analgesia was not achieved despite multiple adjustments, and systemic analgesia was needed for cesarean delivery.
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA. Electronic address: delgadou@u.washington.edu.
authors.forename: C
authors.initials: C
authors.lastname: Delgado
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
authors.forename: C
authors.initials: C
authors.lastname: Kent
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
authors.forename: M
authors.initials: M
authors.lastname: Sedensky
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
authors.forename: C
authors.initials: C
authors.lastname: Ciliberto
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
authors.forename: R
authors.initials: R
authors.lastname: Landau
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D009085:Mucopolysaccharidosis IV / Q000150:complications* / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*
keywords: Analgesia; Cesarean delivery; Morquio syndrome; Obstetric