Syndrome d’Ehlers-Danlos de type vasculaire et grossesse : une prise en charge obstétricale spécifique

Jamard, A.; Hello, C. Le; Simonet, Thérèse; Dreyfus, Michel

doi:10.1016/j.jgyn.2012.01.010

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Syndrome D'ehlers-danlos Vasculaire Et Obstetrique Complicat1

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Cited by 4 publications

(1 citation statement)

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“…Les patientes atteintes de SED vasculaire présentent un risque majoré de complications au cours de la grossesse et du post-partum ; le premier trimestre est marqué par une augmentation des fausses-couches tandis qu'au troisième trimestre les risques sont les hémorragies du post-partum, les déchirures périnéales, les ruptures artérielles lors des efforts expulsifs et les ruptures utérines (14).…”

Section: Syndrome D'ehlers-danlos Vasculaire Et Obstetrique Complicatunclassified

Vascular Ehlers-Danlos syndrom (vEDS): complications and anesthetic management during pregnancy

Rosa¹

2017

Preprint

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Section: Syndrome D'ehlers-danlos Vasculaire Et Obstetrique Complicatunclassified

Vascular Ehlers-Danlos syndrom (vEDS): complications and anesthetic management during pregnancy

Rosa¹

2017

Preprint

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Dissection aortique et grossesse

Trudel¹,

Koussa²,

Pontana³

et al. 2015

Gynécologie Obstétrique & Fertilité

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Vascular Ehlers‐Danlos syndrome and pregnancy: A systematic review

Haem,

Benson,

Dernoncourt

et al. 2024

BJOG

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BackgroundVascular Ehlers‐Danlos syndrome (vEDS) is a hereditary connective tissue disorder associated with an elevated risk of vascular, uterine and digestive complications. Managing pregnancy in this context can be a challenge.ObjectivesTo systematically review the literature data on the complications in pregnancy associated with vEDS.Search strategyWe searched the Pubmed Medline and Embase databases for articles using the following terms “vascular Ehlers‐Danlos syndrome” or “vEDS” AND “pregnancy”.Selection criteriaWomen with vEDS.Data collection and analysisWe searched the PubMed® MEDLINE® database for publications evaluating obstetric outcomes in women with vEDS.Main resultsA total of 121 publications were screened, with six (accounting for 412 pregnancies) included in our review. Of the women included in this sample, 30% were infertile. The miscarriage rate was 13.8% (57/412) and 8.8% of the live births were premature. Obstetric anal sphincter injuries occurred in 11.3% (23/203) of the deliveries. The maternal mortality rate per pregnancy was 5.7%.ConclusionsWomen with vEDS present an elevated risk of uterine rupture, vascular events, digestive events and death during pregnancy. Women appear to be most at risk during the peripartum period; to avoid expulsive efforts, a caesarean section should be scheduled at 37 weeks of gestation.

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Syndrome d’Ehlers-Danlos de type vasculaire et grossesse : une prise en charge obstétricale spécifique

Cited by 4 publications

References 9 publications

Vascular Ehlers-Danlos syndrom (vEDS): complications and anesthetic management during pregnancy

Vascular Ehlers-Danlos syndrom (vEDS): complications and anesthetic management during pregnancy

Dissection aortique et grossesse

Vascular Ehlers‐Danlos syndrome and pregnancy: A systematic review

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