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Anesthetic Management of a Parturient With Hypermobility Phenotype but Possible Vascular Genotype Ehlers-Danlos Syndrome

Fedoruk, Kelly MD; Chong, Karen MD, PhD; Sermer, Mathew MD; Carvalho, Jose C.A. MD, PhD

Obstetric Anesthesia Digest: December 2016 - Volume 36 - Issue 4 - p 223
doi: 10.1097/01.aoa.0000504755.33991.fb
Case Reports

(Can J Anesth. 2015;62:1308–1312)

Ehlers-Danlos syndrome (EDS) is a rare connective tissue disorder that has 6 major subtypes; it displays diverse symptoms. This syndrome poses a host of challenges in parturients. It causes hypermobility, pelvic pain, preterm delivery, perineal lacerations, and postpartum hemorrhage. Patients with vascular type EDS are susceptible to vascular and visceral fragility. Obstetricians and anesthesiologists face significant challenges in managing both vaginal and cesarean deliveries. The case report discussed the care of a woman who was diagnosed with hypermobility type EDS.

Department of Anesthesia and Pain Management, Mount Sinai Hospital, Toronto, ON, Canada

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