Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review

Diffuse cutaneous systemic sclerosis may occur in women of childbearing age. Pregnancies in this population are associated with a markedly increased risk of adverse obstetric and maternal outcomes even before the onset of symptoms related to sclerosis. We report a case involving the management and o...

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Autores principales:	Lingyun Yang, Weiwei Sun, Qiang Yao
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9044424d27a943aea06ae8aa6b5912f3
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spelling	oai:doaj.org-article:9044424d27a943aea06ae8aa6b5912f32021-12-02T08:03:49ZManagement of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review1473-230010.1177/03000605211060160https://doaj.org/article/9044424d27a943aea06ae8aa6b5912f32021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211060160https://doaj.org/toc/1473-2300Diffuse cutaneous systemic sclerosis may occur in women of childbearing age. Pregnancies in this population are associated with a markedly increased risk of adverse obstetric and maternal outcomes even before the onset of symptoms related to sclerosis. We report a case involving the management and outcome of pregnancy in a 30-year-old woman with diffuse cutaneous systemic sclerosis. The course of her pregnancy was good and was assisted by a group consultation including obstetricians and rheumatologists. Vaginal delivery was the patient’s preferred choice because she had irregular skin tightness in her lower abdominal skin. She underwent induction of labor and combined spinal-epidural analgesia, and successfully delivered. Importantly, these pregnancies need to be planned, where possible, to allow the opportunity to counsel women and their partners in advance and to decrease any risks. These pregnancies should be considered high risk, and they require close antenatal monitoring and good supervision from an expert multidisciplinary team experienced in high-risk pregnancies. The management of delivery for patients with cutaneous systemic sclerosis is challenging, and vaginal delivery with labor analgesia is an alternative option to cesarean section.Lingyun YangWeiwei SunQiang YaoSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Lingyun Yang Weiwei Sun Qiang Yao Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review
description	Diffuse cutaneous systemic sclerosis may occur in women of childbearing age. Pregnancies in this population are associated with a markedly increased risk of adverse obstetric and maternal outcomes even before the onset of symptoms related to sclerosis. We report a case involving the management and outcome of pregnancy in a 30-year-old woman with diffuse cutaneous systemic sclerosis. The course of her pregnancy was good and was assisted by a group consultation including obstetricians and rheumatologists. Vaginal delivery was the patient’s preferred choice because she had irregular skin tightness in her lower abdominal skin. She underwent induction of labor and combined spinal-epidural analgesia, and successfully delivered. Importantly, these pregnancies need to be planned, where possible, to allow the opportunity to counsel women and their partners in advance and to decrease any risks. These pregnancies should be considered high risk, and they require close antenatal monitoring and good supervision from an expert multidisciplinary team experienced in high-risk pregnancies. The management of delivery for patients with cutaneous systemic sclerosis is challenging, and vaginal delivery with labor analgesia is an alternative option to cesarean section.
format	article
author	Lingyun Yang Weiwei Sun Qiang Yao
author_facet	Lingyun Yang Weiwei Sun Qiang Yao
author_sort	Lingyun Yang
title	Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review
title_short	Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review
title_full	Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review
title_fullStr	Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review
title_full_unstemmed	Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review
title_sort	management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/9044424d27a943aea06ae8aa6b5912f3
work_keys_str_mv	AT lingyunyang managementofpregnancywithdiffusecutaneoussystemicsclerosisacasereportandliteraturereview AT weiweisun managementofpregnancywithdiffusecutaneoussystemicsclerosisacasereportandliteraturereview AT qiangyao managementofpregnancywithdiffusecutaneoussystemicsclerosisacasereportandliteraturereview
_version_	1718398673040179200

Management of pregnancy with diffuse cutaneous systemic sclerosis: a case report and literature review

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