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Anesthesia for Cesarean Delivery in a Patient With Ehlers-Danlos Syndrome Type II
  1. Marilyn Goldstein, M.D. and
  2. Robert Miller, D.O.
  1. Department of Anesthesia, The Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina
  1. Reprint requests: Dr. Marilyn Goldstein, Department of Anesthesia, Bowman Gray School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1009.


Background and Objectives Ehlers-Danlos syndrome, an inherited connective tissue disease, is rarely seen in pregnancy. Presentation may be mild or severe, depending on which type of the syndrome the patient possesses.

Methods A 38-year-old woman with Ehlers-Danlos syndrome type II presented for cesarean delivery at 34 weeks' gestation with premature rupture of membranes and breech presentation.

Results A subarachnoid block was chosen to provide surgical anesthesia. No adverse side effects or complications developed.

Conclusion In patients with Ehlers-Danlos syndrome, it is important to be aware of which type is present and to be knowledgeable about and prepared for any potential complications.

  • Ehlers-Danlos syndrome
  • pregnancy
  • cesarean delivery
  • connective tissue disease
  • spinal anesthesia

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