Pregnancy Complicated by Familial Dysautonomia Riley-Day Syndrome: A Case Report

Abstract

To illustrate the importance of developing a multidisciplinary approach when managing a pregnant patient diagnosed with Familial Dysautonomia Riley-Day syndrome. A multisystem dysfunction results from this disorder stemming from the progressive nature of the disease affecting both the sensory and autonomic nervous system. A 27 year old female with known Familial Dysautonomia Riley-Day syndrome presented to High Risk Obstetrical Clinic for prenatal care with progressive sensory and autonomic dysfunction since her previous delivery five years ago. The patient delivered a healthy infant at 36 weeks gestation requiring no intervention by the Neonatal Intensive Care Unit. Both mother and infant were discharged home together on post-operative day 4. Through the utilization of a multidisciplinary approach both prenatally and postpartum, a pregnant patient with Familial Dysautonomia Riley-Day syndrome experiencing multiple serious medical problems can successfully deliver an infant requiring no additional medical support. Ideally both mother and infant can be discharged home together.




doi:10.4021/jcgo37w