Combined maternal and congenital myotonic dystrophy managed by a multidisciplinary team

被引:7
作者
Atlas, I [1 ]
Smolin, A [1 ]
机构
[1] Ben Gurion Univ Negev, Fac Hlth Sci, Soroka Med Ctr, Dept Obstet & Gynecol, Beer Sheva, Israel
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 1999年 / 87卷 / 02期
关键词
myotonic dystrophy; pregnancy; multidisciplinary approach; obstetrical complications; neonatal morbidity; anesthetic complication;
D O I
10.1016/S0301-2115(99)00105-0
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Myotonic dystrophy is a rare autosomal dominant degenerative neuromuscular and neuroendocrine disease. Pregnancy can aggravate the maternal disease. Obstetrical complications include stillbirth, premature labor, polyhydramnion, abnormal presentation, prolonged labor, increased operative delivery, postpartum hemorrhages and anesthetic accidents. If the fetus is affected severe neonatal morbidity and mortality with arthrogryposis and mental retardation is common. We present a case where the family chose continuation of pregnancy with a known diagnosis of maternal and severe fetal myotonic dystrophy. A multidisciplinary team was used in the management of pregnancy and counseling the patient. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:175 / 178
页数:4
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