Pregnancy in Charcot-Marie-Tooth disease: Data from the Italian CMT national registry.
Abortion, Spontaneous
/ epidemiology
Adult
Aged
Birth Weight
Breech Presentation
/ epidemiology
Cesarean Section
/ statistics & numerical data
Charcot-Marie-Tooth Disease
/ epidemiology
Female
Gestational Age
Humans
Infant, Newborn
Italy
/ epidemiology
Middle Aged
Obstetric Labor Complications
/ epidemiology
Placenta Previa
/ epidemiology
Postpartum Hemorrhage
/ epidemiology
Pregnancy
Pregnancy Outcome
/ epidemiology
Premature Birth
/ epidemiology
Registries
/ statistics & numerical data
Retrospective Studies
Symptom Flare Up
Young Adult
Journal
Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060
Informations de publication
Date de publication:
15 12 2020
15 12 2020
Historique:
received:
01
05
2020
accepted:
03
08
2020
pubmed:
16
9
2020
medline:
26
1
2021
entrez:
15
9
2020
Statut:
ppublish
Résumé
To collect information on frequency of pregnancy and delivery complications in Charcot-Marie-Tooth (CMT) disease and on CMT course during pregnancy. Through an ad hoc online questionnaire, we investigated pregnancy and neuropathy course in women with CMT adhering to the Italian CMT Registry. Data were compared to those of controls (recruited among friends and unaffected relatives) and the Italian (or other reference) population. We collected data on 193 pregnancies from 86 women with CMT (age 20-73 years) with 157 deliveries (81.4%) after a mean of 38.6 gestational weeks. In women with CMT, there were no differences compared to controls (59 pregnancies and 46 deliveries from 24 controls) and the reference population for miscarriages (11.4%) and planned (21.0%) and emergency (14.0%) cesarean sections. We found a significantly higher frequency of placenta previa (1.6% vs 0.4%), abnormal fetal presentations (8.4% vs 4.5%), and preterm deliveries (20.3% vs 6.9%; most in week 34-36 of gestation) compared to reference populations. Excluding twins, newborn weight did not differ from the reference population. Postpartum bleeding rate in patients with CMT (2.1%) was similar to that of the general population (2.4%). CMT status worsened during 18 of 193 pregnancies (9.3%) with no recovery in 16 of them and with similar figures in the CMT1A and non-CMT1A subtypes. We observed higher rates of placenta previa, abnormal presentations, and preterm deliveries in CMT, but pregnancy outcome and newborn weight and health were similar to those of the reference populations. Worsening of CMT is not infrequent and occurs not only in CMT1A. Pregnant women with CMT should be monitored with particular care.
Identifiants
pubmed: 32928981
pii: WNL.0000000000010860
doi: 10.1212/WNL.0000000000010860
pmc: PMC7836663
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e3180-e3189Informations de copyright
© 2020 American Academy of Neurology.
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