The Modern Midwife's Guide to Pregnancy, Birth and Beyond: How to Have a Healthier Pregnancy, Easier Birth and Smoother Postnatal Period

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Though there is no uniform guidance in caring for those childbearing with POTS, it may be prudent for those with hEDS/HSD and autonomic dysfunction such as POTS to seek early review with an obstetrician and an anaesthetist to engage in timely and evidence-based discussions ( Sheldon et al, 2015; Morgan et al, 2018; Pezaro et al, 2018). For hEDS/HSD, symptoms more commonly relate to joint, skin and proprioception, such as frequent injuries, sprains, dislocations/subluxations ( Ericson Jr and Wolman, 2017), oromandibular manifestations ( Mitakides and Tinkle, 2017), easy bruising ( Kohn and Chang, 2019), and problems relating to balance or proprioceptive precision ( Clayton et al, 2015; Russek and Errico, 2016). More broadly, those with hEDS/HSD can experience a repeated lack of understanding by health professionals, restricted life, social stigma and a fear of the unknown ( Bennett et al, 2019).

In one case study, bladder diverticulum has reportedly developed without any obstruction of the urinary bladder during pregnancy ( Pradhan et al, 2020). While coping with the physical changes in pregnancy, birth and beyond, your emotional wellbeing is important too. For those with POTS, epidural (bolus and/or infusion) with phenylephrine during childbirth may be useful in preventing reactive tachycardia in the presence of hypotension-casing peripheral vasodilation ( Morgan et al, 2018).It was launched by Emma McLeod in October 2005 after Olivia, Emma’s second child and first daughter, died unexpectedly in utero and was born still on 31 July 2002. Accordingly, further evidence in relation to outcomes, best practice in postnatal care and length of hospital stay for those with hEDS/HSD is required, especially as some with hEDS/HSD can experience an uncomplicated postnatal recovery ( Pezaro et al, 2020). You are going to hear exactly how to educate your clients re: the core and pelvic floor – how to explain to them what the core and pelvic floor are, what functions they serve, and what hey need to know so they can harness the power of the pelvic floor in their daily lives. Key to the success of this service is the local parents who have the passion, skills and commitment to train as Birth and Beyond Community Supporters and volunteer in their local community supporting other parents. Although caution must be taken in interpreting these results, as the types of EDS included were not stated and findings are specific to the US, where the data was collected between 1999–2013.

In any case, gentle handling of tissues and meticulous attention to haemostasis will be important in any surgical interventions. Morgan K, Chojenta C, Tavener M, Smith A, Loxton D Postural orthostatic tachycardia syndrome during pregnancy: a systematic review of the literature.How might parents affected by hEDS/HSD be supported to engage in evidence-based decision making about their maternity care?