Common Maternal Genetic Syndromes III: Ehlers-Danlos Syndrome

A. Vidaeff
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Abstract

The purpose of this work is to improve the basis upon which advice on pregnancy is given to women with Ehlers-Danlos syndrome (EDS) and to address issues of obstetric management by drawing upon the accumulated world experience. Although, overall, pregnancy in EDS is well tolerated, with good outcomes, the rate of maternal and perinatal complications is higher and every pregnancy in these women remains a high-risk pregnancy. The obstetrical outcomes are influenced by the type of EDS and the specific underlying abnormalities. The older numeric classification of EDS has been largely abandoned and it was replaced by the 2017 descriptive international classification. Based on this new classification, we are briefly describing the most common EDS types and consider the management implications imposed by pregnancy and delivery.   This review contains 2 figures, 1 table, and 36 references. Keywords: Ehlers-Danlos syndrome, EDS types, pregnancy, delivery, EDS classification, counseling, genetic screening, neonatal outcomes 
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常见的母亲遗传综合征III:埃勒-丹洛斯综合征
这项工作的目的是改善向患有埃勒斯-丹洛斯综合症的妇女提供怀孕咨询的基础,并通过借鉴世界积累的经验来解决产科管理问题。尽管总体而言,EDS患者的妊娠耐受性良好,预后良好,但产妇和围产期并发症的发生率较高,这些妇女的每次妊娠仍然是高危妊娠。产科结果受EDS类型和特定潜在异常的影响。旧的EDS数字分类已基本被抛弃,取而代之的是2017年的描述性国际分类。基于这种新的分类,我们简要地描述了最常见的EDS类型,并考虑了妊娠和分娩对管理的影响。本综述包含2张图,1张表,36篇参考文献。关键词:ehers - danlos综合征,EDS类型,妊娠,分娩,EDS分类,咨询,遗传筛查,新生儿结局
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