Primigravida with generalized myasthenia gravis leading to caesarean section delivery: a case report.
Alce Everdien, Andi Kurniadi, Adhi Pribadi et al.
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Case in brief
A 25-year-old primigravida with a history of ocular myasthenia gravis experienced progression to generalized myasthenia gravis during pregnancy. She presented for delivery at 37 weeks gestation, having been stable on pyridostigmine therapy. A planned cesarean section was performed under spinal anesthesia to reduce the risk of respiratory fatigue. Both mother and neonate had favorable outcomes, with no postpartum exacerbation.
Diagnostic / clinical pearl
Multidisciplinary coordination is essential in managing pregnant patients with myasthenia gravis to ensure safe delivery and minimize complications.
Why it matters
This case highlights the importance of respiratory assessment and disease stability in making delivery decisions for patients with myasthenia gravis.