Kyphoscoliosis Complicating Pregnancy

Jones, D. H.

doi:10.1016/s0140-6736(64)92908-3

Cited by 11 publications

(2 citation statements)

References 6 publications

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“…Obstetric management of these patients revolves around manage ment of restrictive ventilatory defect and that of cephalopelvic disproportion, if present. Jones [2] and Man ning et al [3] have reported that patients with restrictive ventilatory defect generally do well during pregnancy and labor. Pulmonary function tests and arterial blood gas analysis should be done to aid counseling regarding the outcome of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Cervico-Oculo-Acousticus Syndrome with Pregnancy

Sholapurkar¹,

Dhall²

1991

Gynecol Obstet Invest

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Cervico-oculo-acousticus syndrome is a very rare entity with only 21 cases described in the world literature. A study of a case of this syndrome with pregnancy is presented. This primigravida, in addition to the classical triad of the syndrome, had other dysmorphic features such as short stature (141 cm), and marked thoracic kyphosis with restricted ventilatory capacity. Her physical activity during pregnancy was guided according to her respiratory status. In spite of marked thoracic kyphosis the cephalo-pelvic relationship was found to be adequate for a vaginal delivery. A healthy male baby weighing 3.8 kg was delivered by an outlet forceps at term. Puerperium was uneventful. The child was clinically normal at the age of 2 years.

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Section: Discussionmentioning

confidence: 99%

Cervico-Oculo-Acousticus Syndrome with Pregnancy

Sholapurkar¹,

Dhall²

1991

Gynecol Obstet Invest

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“…5 Varying degrees of respiratory deterioration have been reported in patients with dwarfism; while there are several reports of patients asymptomatic to the third trimester, 4 other authors report patients ‘propped up in rocking chairs for the last 50 days of gestation because of respiratory embarrassment’ 3 and one report of a pregnancy termination as a life-saving measure in a mother with osteogenesis imperfecta who was 78 cm tall and developed respiratory failure at 16 weeks. 7 Particularly in a woman with proportionate dwarfism, a reduced symphisis to xiphoid measurement results in the gravid uterus becoming an abdominal organ from the early weeks of gestation. Diaphragmatic impingement subsequently contributes to reduced respiratory function at an early stage in pregnancy.…”

Section: Commentmentioning

confidence: 99%

Pregnancy in a woman with proportionate (primordial) dwarfism: a case report and literature review

et al. 2012

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Summary: Primordial dwarfism is a rare form of severe proportionate dwarfism which poses significant challenges in pregnancy. A 27-year-old with primordial dwarfism (height 97 cm, weight 22 kg) and coexisting morbidities of familial hypercholesterolaemia and hypertension presented to our unit. Early pregnancy was complicated by difficult blood pressure control, sinus tachycardia, biochemical hyperthyroidism and insulin-requiring gestational diabetes. Delivery was indicated at 24 weeks with uncontrollable hypertension, progressive renal impairment and intrauterine growth restriction. A caesarean section was performed under general anaesthesia, resulting in the delivery of a 486 g male infant. This case highlights the difficulties of managing pregnancy in a woman with primordial dwarfism. Her limited capacity to respond to the physiological demands of pregnancy created a life-threatening situation, culminating in profound preterm birth.

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Respiratory problems in pregnancy

Novy

Edwards

1967

American Journal of Obstetrics and Gynecology

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Kyphoscoliosis Complicating Pregnancy

Cited by 11 publications

References 6 publications

Cervico-Oculo-Acousticus Syndrome with Pregnancy

Cervico-Oculo-Acousticus Syndrome with Pregnancy

Pregnancy in a woman with proportionate (primordial) dwarfism: a case report and literature review

Respiratory problems in pregnancy

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