Document Detail

Osteogenesis imperfecta in pregnancy. Case report.
MedLine Citation:
PMID:  20682164     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: Osteogenesis Imperfecta is a rare condition, especially in obstetric patients. It has an estimated prevalence of 1/10,000 in the general population, and 1/25,000 to 30,000 in obstetric patients. The objective of this report was to present a rare case of a pregnant woman with Osteogenesis Imperfecta undergoing cesarean section.
CASE REPORT: This is a 23 years old gravida on the 38th week, admitted to the maternity ward with loss of amniotic fluid and contractions for four hours, associated with the absence of fetal movements for four days. The patient had a mild form of Osteogenesis Imperfecta without other comorbidities. She was not taking any medication, and she did not have prenatal follow-up. The patient underwent spinal anesthesia in the L(3)-L(4) space, median approach, with a single puncture with a 27G Quincke needle and the administration of hyperbaric 0.5% bupivacaine (10 mg) and morphine (60 microg). She was discharged in the second postoperative day without complaints.
CONCLUSIONS: Fertility is preserved, especially in those patients with type I of the disease, and pregnancy can be carried to term. Delivery is usually surgical due to pelvic deformities in the gravida, cephalopelvic disproportion, and increased incidence of abnormal fetal presentation. The importance of the anesthesiologist in the surgical team relies on the perioperative management and the choice of the most appropriate anesthetic technique for each patient.
Ticiana Goyanna Lyra; Vanessa Alves Fernandes Pinto; Fábio André Barbosa Ivo; Jedson dos Santos Nascimento
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Revista brasileira de anestesiologia     Volume:  60     ISSN:  1806-907X     ISO Abbreviation:  Rev Bras Anestesiol     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-08-04     Completed Date:  2011-01-06     Revised Date:  2014-02-05    
Medline Journal Info:
Nlm Unique ID:  0401316     Medline TA:  Rev Bras Anestesiol     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  321-4     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Editora Ltda. All rights reserved.
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MeSH Terms
Anesthesia, Obstetrical*
Cesarean Section*
Osteogenesis Imperfecta*
Pregnancy Complications*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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