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.
Most regimes for medical termination use an antiprogesterone and a vaginal prostaglandin. Concern remains about its safety in women with previous caesarean births. We present a case of successful therapeutic mid-trimester termination in a woman with two previous caesarean births and cervical surgery using an antiprogesterone and an oral prostaglandin.Green Lane South, Preston PR2 8DU, UK. 1999 o 1999 Wiley-Liss, Inc.
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