Document Detail

Postural tachycardia syndrome complicating pregnancy.
MedLine Citation:
PMID:  20136369     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To review clinical experience at our institution on postural tachycardia syndrome (POTS) complicating pregnancy. METHODS: In a retrospective review, we identified nine pregnancies in seven patients with POTS syndrome at our institution. RESULTS: Patients who did not require treatment for POTS before conception were less likely to have an exacerbation of symptoms or need reintroduction of treatment. Exacerbations of POTS during pregnancy are variable. Of our patients with exacerbations of symptoms, increases in the existing pharmacologic treatments, such as increasing beta-blocker dosage, was effective in palliation of symptoms. There were seven vaginal deliveries. Two patients delivered without neuraxial anesthesia; the other five deliveries were done using epidural anesthesia without associated complications. POTS does not seem to contribute to pregnancy-related complications. Importantly, there were no adverse intrapartum events attributable to POTS. CONCLUSIONS: Pregnant women with POTS may undergo safe regional anesthesia and vaginal delivery. This contradicts earlier reports in the literature recommending cesarean delivery.
Cecelia A Powless; Roger W Harms; William J Watson
Related Documents :
21123309 - Hysterosalpingogram: an essential examination following essure hysteroscopic sterilisat...
1164279 - An assessment of the vaginal biopsy technique of pregnancy diagnosis in sows.
21775849 - Timing of indicated late-preterm and early-term birth.
6477849 - Should a paediatrician be present at non-rotational forceps deliveries?
3799769 - Predictors of vaginal delivery in patients with a previous cesarean section, who requir...
18639209 - Visually estimated and calculated blood loss in vaginal and cesarean delivery.
10688509 - Pregnancy outcomes and cardiac complications in women with mechanical, bioprosthetic an...
9589679 - Susceptibility of human placental syncytiotrophoblastic mitochondria to oxygen-mediated...
3312659 - Low fetal loss rates after ultrasound-proved viability in early pregnancy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  23     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-16     Completed Date:  2010-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  850-3     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905,USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Minnesota / epidemiology
Postural Orthostatic Tachycardia Syndrome / epidemiology*
Pregnancy Complications / epidemiology*
Retrospective Studies

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

Previous Document:  The proceedings of the diabetes in pregnancy study group of North America 2009 conference.
Next Document:  Validation of a fluid-structure interaction model of solute transport in pores of cyclically deforme...