A clinical update on hypermobile Ehlers-Danlos syndrome during pregnancy, birth and beyond

2021 ◽  
Vol 29 (9) ◽  
pp. 492-500
Author(s):  
Sally Pezaro ◽  
Gemma Pearce ◽  
Emma Reinhold

New estimates suggest that cases of hypermobile Ehlers-Danlos syndrome (hEDS) along with the related hypermobility spectrum disorders (HSD) affect approximately 1 in 20 pregnancies globally per year. As such, cases in maternity services should no longer be considered rare, only rarely diagnosed. These conditions can impact upon childbearing in different ways, yet healthcare professionals are often perceived to be lacking in awareness. This article updates and builds upon a previous international review of maternity care considerations for those childbearing with hEDS/HSD. Findings point to a need for individualised care planning in partnership with parents as part of a multidisciplinary approach. As our knowledge of these conditions has developed significantly in recent years, new research insights could usefully be embedded in staff and student education. As a first step, www.hEDSTogether.com has been launched hosting a freely downloadable EDS Maternity tool for use in practice, along with an i-learn module hosted by the Royal College of Midwives.

2021 ◽  
pp. 279-286
Author(s):  
Carolina Baeza-Velasco ◽  
Paola Espinoza ◽  
Antonio Bulbena ◽  
Andrea Bulbena-Cabré ◽  
Maude Seneque ◽  
...  

Author(s):  
Gavin Clunie ◽  
Nick Wilkinson ◽  
Elena Nikiphorou ◽  
Deepak R. Jadon

The Oxford Handbook of Rheumatology, 4th edition, includes a chapter on the hereditary diseases of connective tissue. Of importance, up-to-date genetic information and classification of subtypes of osteogenesis imperfecta is reviewed. There is a summary of a broad range of diseases of connective tissue including Marfan syndrome, Stickler disease, and arthrogryposis—conditions encountered occasionally by the rheumatologist. The chapter details the new 2017 criteria for Ehlers–Danlos syndrome and outlines the new classification for the hypermobility spectrum disorders and the distinction between generalized, localized, and regional hypermobility and hypermobility Ehlers–Danlos syndrome, both in adults and in children.


Author(s):  
CASANOVA, Emily L. ◽  
SHARP, Julia L. ◽  
EDELSON, Stephen M. ◽  
KELLY, Desmond P. ◽  
SOKHADZE, Estate M. ◽  
...  

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