Cesarean delivery in a pregnant woman with mutilating recessive dystrophic epidermolysis bullosa

Turmo-Tejera, Marta; García-Navia, Jusset Teresa; Suárez, Francisco; Echevarría-Moreno, Mercedes

doi:10.1016/j.jclinane.2013.08.008

Cited by 6 publications

(23 citation statements)

References 7 publications

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“…Pregnancy is relatively uncommon, due to the associated disability and concerns regarding affected children [8,9]. Nevertheless, successful pregnancy outcomes have been reported even in women with severe types of EB [3,[9], [10], [11], [12], [13]]. Women with EB are not at increased risk of pregnancy-related complications [8], and the skin itself does not seem to worsen during pregnancy [9].…”

Section: Discussionmentioning

confidence: 99%

“…Preservation of skin and mucous membrane integrity presents a challenge to the anesthesiologist (Table 4) [3,10,11,15]. Bullae formation may lead to additional pain, heat and fluid losses and risk of secondary infection [9,15].…”

Section: Discussionmentioning

confidence: 99%

“…Use of adhesive materials is strictly contraindicated [8]. Non-adherent silicon-based materials are recommended and widely used [10,11,15,16].…”

Section: Discussionmentioning

confidence: 99%

“…In the absence of a contraindication, neuraxial anesthesia is recommended over GA for cesarean deliveries [3,8,10,11]. As many patients with EB are malnourished, determination of bony landmarks is often simple [17].…”

Section: Discussionmentioning

confidence: 99%

“…Gentle manipulation is key to prevention of bullous lesions. Difficult-airway equipment should be available at all times [4,10,11,15,[17], [18], [19]].…”

Section: Discussionmentioning

confidence: 99%

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Management of epidermolysis bullosa simplex in pregnancy: A case report

Shah

Kumaraswami

Mushi

2019

Case Reports in Women's Health

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Epidermolysis bullosa (EB) encompasses a group of diseases characterized by extreme fragility of skin and mucous membranes, resulting in blister formation following minimal injury. There are 4 types of EB, with epidermolysis bullosa simplex (EBS) being the most common. We report our experience with the care of a parturient woman diagnosed with EBS. There is little literature on pregnancy in women with this condition. Special precautions are necessary during diagnostic and therapeutic interventions to avoid bullae formation or exacerbation of existing lesions. Frictional or shearing forces are typically more damaging than compressive forces. Multidisciplinary planning was done for our patient to ensure uneventful labor and delivery. Elective induction of labor was started at 40 weeks of gestation. She eventually underwent a cesarean delivery after failed trial of labor. We present this case to highlight the obstetric and anesthetic implications of caring for a parturient with EBS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Use of adhesive materials is strictly contraindicated [8]. Non-adherent silicon-based materials are recommended and widely used [10,11,15,16].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Gentle manipulation is key to prevention of bullous lesions. Difficult-airway equipment should be available at all times [4,10,11,15,[17], [18], [19]].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations