Term Pregnancy in an Achondroplastic Dwarf: A Case Report.
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Date
2014-09
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Abstract
Achondroplasia is a rare disorder occurring in 1 in 15,000 to 1 in 40,000 live births. However, it is the commonest disorder
among more than 100 different types of dwarfism. It is inherited as an autosomal dominant trait but most cases (80%) are due
to mutations of fibroblast growth factor receptor 3 (FGFR3). These individuals have normal mental and sexual development
and life-span may also be normal. However, problems such as pre-eclampsia, polyhydramnios, respiratory compromise,
contracted pelvis necessitating lower-segment cesarean section, prematurity and fetal wastage, etc., have been reported. General
anesthesia is preferred to regional anesthesia because of spinal abnormalities. The aim of this report is to describe the surgical
management of these patients discussing the surgical consideration and emphasizing the difficulties encountered. Such a patient
is considered high-risk in terms of anesthesia and obstetric outcome. A case of achondroplasia with pregnancy is reported. A
28-year-old achondroplastic parturient underwent cesarean section under general anesthesia for contracted pelvis. We did not
encounter problems related to cesarean section. The most important point is the careful preoperative assessment. Anesthesia
plan should be specified to individual basis.
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Keywords
Achondroplasia, dwarfism, cesarean section, anesthesia
Citation
Rani Rekha, Singh Shikha, Singh Saroj, Verma Urvashi, Garg Ruchika, Singh Hari, Singh Dibya. Term Pregnancy in an Achondroplastic Dwarf: A Case Report. Indian Journal of Clinical Practice. 2014 Sept; 25(4): 364-366.