Psychiatric manifestations of Joint Hypermobility syndrome.
Eccles J. et al. BMJ, 8 February 2011
Authors reviewed the psychiatric manifestations of the hypermobility syndrome. There is a 16 times greater risk of panic attacks and anxiety in patients with hypermobility syndrome compared with non-hypermobile controls. The degree of hyper mobility predicts the severity of anxiety. Joint hypermobility syndrome also is linked to a number of conditions including irritable bowel syndrome, chronic fatigue syndrome and fibromyalgia.
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Gynecologic and obstetric complications of the joint hyper mobility syndrome (a.k.a. Ehlers-Danlos syndrome, hyper mobility type) in 82 Italian patients.
Castori M., et al. Am J Med Genet A., 2012 Sep, 158A(9):2176-82.
Authors studied gynecologic and obstetrical features in 82 adult women with hypermobility syndrome. Common issues in those patients were dysmenorrhea (painful periods, 82.9%), prolong periods (53.7%), irregular periods (46.3%) and painful intercourse (31.7%). There were 93 diagnosed pregnancies (some women had more than one pregnancies). Outcomes of pregnancies included: spontaneous abortions (16%), voluntary abortions (6.5%), preterm deliveries (10.7%), and there were 66.7% termed deliveries. There were 72% vaginal deliveries, forceps/vacuum were used in 5.5% and 22% of women had C-sections.
Anesthesia was performed successfully in 17 pregnancies. Major postpartum complications were abnormal scar formation after episiotomy or C-section (46%), bleeding (19%), pelvic prolapses (15%), clots (4%), and coccyx dislocation (1.4%). Prolapses were most clinically relevant complication and associated with episiotomy.
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