Ansó M, Veiga-Gil L, De Carlos J, Hualde A, Pérez-Cajaraville J
Department of Anesthesia and Pain Medicine, Complejo Hospitalario de Navarra, Pamplona, Spain.
Department of Anesthesia and Pain Medicine, Complejo Hospitalario de Navarra, Pamplona, Spain.
Int J Obstet Anesth. 2017 May;30:58-61. doi: 10.1016/j.ijoa.2016.11.008. Epub 2016 Dec 5.
We report the anesthetic management of a 16-year-old woman with Fowler's syndrome who became pregnant three years after sacral neuromodulation was initiated for treatment of the condition. Multidisciplinary consensus was to switch off the neurostimulator during pregnancy, and attempt vaginal delivery with a neuraxial block. When the patient was admitted for labor, an epidural catheter was placed successfully. The patient had a normal vaginal delivery. Sacral neuromodulation was restarted uneventfully in the early puerperium and the Fowler's syndrome remains well controlled. The baby continues to develop normally three years after delivery.
我们报告了一名患有福勒综合征的16岁女性的麻醉管理情况，该患者在开始骶神经调节治疗该疾病三年后怀孕。多学科共识是在怀孕期间关闭神经刺激器，并尝试通过神经轴阻滞进行阴道分娩。当患者入院分娩时，成功置入了硬膜外导管。患者顺利进行了阴道分娩。产后早期骶神经调节顺利重启，福勒综合征仍得到良好控制。分娩三年后，婴儿继续正常发育。
