Primary Article

Myotonic Muscular Dystrophy in Pregnancy

Authors: MAJ GEORGE D. HILLIARD MC, USAF, COL ROBERT E. HARRIS MC, USAF, MAJ LARRY C. GILSTRAP III, MC, USAF, MAJ ROBERT D. SHOUMAKER MC, USAF

Abstract

ABSTRACTMyotonic muscular dystrophy is an autosomal dominant disease inherited with variable penetrance. With pregnancy, the myotonia and muscle weakness may increase. There is also an increased incidence of abortion, prematurity, fetal death, labor dysfunction, and postpartum hemorrhage. A description of two pregnant patients and a review of the literature illustrate the interaction of the disease and pregnancy.

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