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SURVEY OF PREGNANCY IN CHARCOT MARIE TOOTH DISEASE PATIENTS
  1. Matilde Laura1,
  2. Mariola Skorupinska1,
  3. Karen Bull1,
  4. Bridgette Byrne2,
  5. Mary Reilly1
  1. 1 UCL Institute of Neurology
  2. 2 Coombe Women and Infants University Hospital, Dublin

Abstract

Charcot Marie Tooth (CMT) disease is the most common inherited peripheral neuropathy. Patients frequently ask whether pregnancy will affect their CMT, whether CMT will affect their pregnancy, the optimal delivery and whether they or their child will have a higher risk of complications. So far only few studies address these questions. Currently guidelines for the management of pregnancy in CMT patients are not available.

Aim To assess the impact of pregnancy on CMT and to assess how CMT affects pregnancy, delivery and the care of the new born baby.

Methods We designed a questionnaire divided into four parts (prior, during/after pregnancy and delivery), including 29 questions addressing impairment, falls, pain, fatigue and respiratory complications during those periods; type of delivery, complications, anaesthetic details and difficulties looking after the newborn.

Results Preliminary results on 31 CMT women showed deterioration of symptoms during pregnancy in 13 patients (42%). So far none of the women reported any complications related to anaesthesia. 62% of deliveries were natural, 8% were assisted and 30% were caesarean which are similar to the normal population in UK.

Conclusions Data from this survey will provide valuable information on current practice and will inform future guidelines and standard of care.

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