Management of labor and delivery in a woman with Morquio syndrome

C Delgado; C Kent; M Sedensky; C Ciliberto; R Landau

doi:10.1016/j.ijoa.2015.08.015

Management of labor and delivery in a woman with Morquio syndrome

Int J Obstet Anesth. 2015 Nov;24(4):383-7. doi: 10.1016/j.ijoa.2015.08.015. Epub 2015 Oct 1.

Authors

C Delgado¹, C Kent², M Sedensky², C Ciliberto², R Landau²

Affiliations

¹ Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA. Electronic address: delgadou@u.washington.edu.
² Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.

PMID: 26431780
DOI: 10.1016/j.ijoa.2015.08.015

Abstract

Morquio syndrome, a congenital mucopolysaccharidosis, presents several challenges for the provision of effective labor analgesia. We report the case of a woman admitted for induction of labor who received an early epidural and subsequently required cesarean delivery. Optimal bilateral labor analgesia was not achieved despite multiple adjustments, and systemic analgesia was needed for cesarean delivery.

Keywords: Analgesia; Cesarean delivery; Morquio syndrome; Obstetric.

Publication types

Case Reports

MeSH terms

Adult
Analgesia, Epidural / methods*
Analgesia, Obstetrical / methods*
Cesarean Section*
Female
Humans
Labor, Obstetric*
Mucopolysaccharidosis IV / complications*
Mucopolysaccharidosis IV / surgery
Pregnancy
Pregnancy Complications / surgery*