Dutta Indranil, Wilson Helen, Oteri Odiri
Department of Obstetrics & Gynaecology, Lincoln County Hospital, Greetwell Road, Lincoln LN2 5QY, UK.
Obstet Gynecol Int. 2011;2011:306413. doi: 10.1155/2011/306413. Epub 2011 Jun 15.
Ehlers-Danlos syndrome (EDS) is a group of connective tissue disorders which are divided into various distinguishable phenotypes. The type of EDS determines the potential obstetric complications. Due to the spectrum of clinical manifestation and overlap between phenotypes, there are no standardised obstetric management guidelines. Existing literature illustrates different obstetric management in hypermobility type of EDS, including uneventful term vaginal deliveries as well as preterm cesarean section deliveries. This paper discusses obstetric management of a woman with EDS hypermobility type. Cesarean section was deemed the most appropriate delivery method in this patient due to the possible complications including risk of joint dislocation and pain morbidity. No obstetric complications were experienced, and good maternal and neonatal outcomes were achieved.
埃勒斯-当洛综合征(EDS)是一组结缔组织疾病,可分为多种可区分的表型。EDS的类型决定了潜在的产科并发症。由于临床表现的范围以及表型之间的重叠,目前尚无标准化的产科管理指南。现有文献阐述了对关节活动过度型EDS的不同产科管理方法,包括足月顺产以及早产剖宫产。本文讨论了一名关节活动过度型EDS女性患者的产科管理。由于可能出现包括关节脱位风险和疼痛发病率等并发症,剖宫产被认为是该患者最合适的分娩方式。该患者未出现产科并发症,母婴结局良好。