25/02/2016
With Marfan Awareness Month coming to an end I would like to write a post discussing something personal. I was diagnosed with marfan syndrome from birth and ever since I hit my pre-teens all I heard from doctors is how I couldn't ever conceive a child. So what are the real facts about pregnancy and marfan syndrome?
Well the truth is many of women who have marfan syndrome do in fact birth children with minimal complications. But here are some things to consider;
Risks for the mother;
As with any cardiovascular problems, these issues can cause high risks for the woman. Pregnancy can put additional stress on your heart and increase the risk of aortic dissection even after the child is born the risk can still exist for months, additionally pregnancy can cause increased dilation For this reason, women who have a dilation of near 40mm should not even consider pregnancy. Furthermore, birthing a child can cause long-term and unpredictable damage to and may result in premature death. Fatal complications during or after a delivery have been known to increase in patients who have had a mitro valve surgery or prophylactic aortic root surgery.
In a study done of 125 women between the ages of 21-36 Major complications included arrhythmias, dissection or rupture of residual aorta, heart failure due to mitral valve disease, endocarditis, and intercerebral or spinal hemorrhage.
Risks for the baby;
The likelihood that a child will be born with marfan syndrome is at least 50%. Additionally, even if the mother has a mild form of marfan syndrome the child can develop a much more severe form. The risk of aortic dissection for the mother can also carry substantial risks to the mortality of the child, and due to this fact premature birth is also a common factor with a rate of 40%. It is important to note that after successfully having a child you should have them tested for marfan syndrome as soon as possible.
Preparation and safety;
Before conception takes place a patient with marfan syndrome should contact their doctor and undergo tests to make sure the function of their heart is stable and the possibilities of dissection are few. The woman should also make sure that she is well informed of the risks presented by the pregnancy process and the potential for hereditary marfan syndrome. Additionally the use of a beta blockers, while possible, can pose some potential side effects. Though over all favorable the following side effects can occur;fetal growth retardation, bradycardia, hypoglycemia, hyperbilirubinemia, and apnea at birth in the newborn.
Likelihood of death in patients with marfan syndrome who conceive was recorded as being 3 cases in every 70 patients by a study done in Yemen. It is considered a good idea to frequently request a 24 hour heart monitor by your doctor so that the activity of your heart can be monitored for any changes.
If you are a mother with marfan syndrome please feel free to comment your experience to us.