Think EDS and pregnancy is a straightforward conversation? Think again. In this jam-packed Office Hours episode, I dig into everything I wish someone had told me and everything I’ve since learned from patients, research, and my own pregnancies. From racing heart rates and failed epidurals to postpartum complications and misunderstood mental health shifts, we’re laying it all out. We explore rapid labor, prolapse risk, anesthetic resistance, dysautonomia flares, pelvic floor fragility, and why some babies bruise easier than doctors expect. Whether you're prepping for pregnancy, navigating birth, or recovering afterward, this is your roadmap for a more informed journey.

Takeaways:

Pregnancy with EDS or HSD isn't automatically high-risk, but it comes with specific concerns like tissue fragility, anesthesia resistance, and prolapse that OBs may overlook.

Labor can be rapid and unpredictable in people with connective tissue disorders, making delivery planning (and backup plans) especially important.

Local anesthetics may not work as expected, so communicating prior resistance to meds like lidocaine is crucial for anesthesia teams.

Postpartum recovery often takes longer, with higher risk of complications like joint instability, slow healing, and mental health shifts, including postpartum depression.

Medical students with EDS should choose specialties with pacing and physical demand in mind, considering how residency schedules and procedures might affect long-term career sustainability.

Find the episode transcript here.

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