Combined maternal and congenital myotonic dystrophy managed by a multidisciplinary team

Citation
I. Atlas et A. Smolin, Combined maternal and congenital myotonic dystrophy managed by a multidisciplinary team, EUR J OB GY, 87(2), 1999, pp. 175-178
Citations number
20
Categorie Soggetti
Reproductive Medicine
Journal title
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN journal
03012115 → ACNP
Volume
87
Issue
2
Year of publication
1999
Pages
175 - 178
Database
ISI
SICI code
0301-2115(199912)87:2<175:CMACMD>2.0.ZU;2-I
Abstract
Myotonic dystrophy is a rare autosomal dominant degenerative neuromuscular and neuroendocrine disease. Pregnancy can aggravate the maternal disease. O bstetrical complications include stillbirth, premature labor, polyhydramnio n, abnormal presentation, prolonged labor, increased operative delivery, po stpartum hemorrhages and anesthetic accidents. If the fetus is affected sev ere neonatal morbidity and mortality with arthrogryposis and mental retarda tion is common. We present a case where the family chose continuation of pr egnancy with a known diagnosis of maternal and severe fetal myotonic dystro phy. A multidisciplinary team was used in the management of pregnancy and c ounseling the patient. (C) 1999 Elsevier Science Ireland Ltd. All rights re served.