title: A review of the obstetric management of patients with epidermolysis bullosa.
abstract: Epidermolysis bullosa (EB) is a rare inherited skin condition characterized by the development of blisters after minor mechanical friction or trauma. There are few reported pregnancies in the literature in these women. We describe a pregnancy we recently managed. The collated series of pregnancies show that there are no additional antenatal or postnatal problems and that the skin itself does not worsen during pregnancy. Vaginal delivery is most favourable, but if a caesarean section is required, regional anaesthesia should be attempted. A multidisciplinary team should be active throughout the pregnancy of these women and a well-documented labour plan should be made in advance.
authors: Maternal and Fetal Research Unit, King's College London , Division of Reproduction and Endocrinology, St Thomas' Hospital, London , UK.
authors: L A
authors: LA
authors: Bolt
authors: Departments of Obstetric Anaesthesia, St Thomas' Hospital , London , UK.
authors: G
authors: G
authors: O'Sullivan
authors: Maternal and Fetal Research Unit, King's College London , Division of Reproduction and Endocrinology, St Thomas' Hospital, London , UK.
authors: D
authors: D
authors: Rajasingham
authors: Maternal and Fetal Research Unit, King's College London , Division of Reproduction and Endocrinology, St Thomas' Hospital, London , UK.
authors: A
authors: A
authors: Shennan
keywords: complications; epidermolysis bullosa; general medicine; management