Management of osteogenesis imperfecta type I in pregnancy; a review of literature applied to clinical practice

Archives of Gynecology and Obstetrics
Mauro CozzolinoFederico Mecacci

Abstract

Osteogenesis imperfecta (OI) is a rare heritable heterogenous disorder characterized by bone fragility and susceptibility to fractures with a wide spectrum of clinical expression due to defects in collagen type I biosynthesis. The purpose of the review is to highlight the practical norms in pregnancies with osteogenesis imperfecta. We carried out a literature review in MEDLINE on OI during pregnancy, focusing on diagnosis, therapy and delivery. We reviewed 28 articles (case reports, original articles and reviews). Pregnant women affected by type I OI should be closely monitored to assess fetal well-being and detect pregnancy-related complications associated with an increased risk for osteoporosis, restrictive pulmonary disease, cephalopelvic disproportion and other problems related to connective tissue disorders. Mode of delivery remains controversial and should be determined on an individual basis. In conclusion, women affected by type I OI represent a subset of patients whose pregnancies should be considered high risk and warrant a multidisciplinary approach in a referral center.

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Citations

Apr 5, 2016·Archives of Gynecology and Obstetrics·Hironori TakahashiShigeki Matsubara
Apr 8, 2016·Archives of Gynecology and Obstetrics·Mauro CozzolinoMaria Elisabetta Coccia
Jul 20, 2016·Case Reports in Medicine·Elizabeth VueTracey Straker
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Jul 17, 2019·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Diana OlveraKenneth M Kozloff
May 29, 2020·Orphanet Journal of Rare Diseases·Lidiia ZhytnikKatre Maasalu
Dec 12, 2019·Journal of Medical Case Reports·Felix ChamunyongaBismark Mateveke
Mar 31, 2021·American Journal of Obstetrics & Gynecology MFM·Rashmi RaoDeborah Krakow

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