Ankylosing spondylitis and delivery mode

From: Ron Jewell (rjewell@bigpond.com)
Wed Jul 26 09:15:03 2000


I have a young multiparous patient with ankylosing spondylitis who has had 2 previous uncomplicated vaginal deliveries. She has been advised by her rheumatologist to have a caesarean section for this delivery to avoid worsening of her sacro-iliac disease.

I can find no good evidence apart from anecdotal to support this view and I am sure that she would be better off with vaginal delivery.

Does anyone out there have any experience of this problem?

Thank you

--
Ron Jewell




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