Author(s): ,
Sato, M.*
National Center for Child Health and Development, Division of Obstetric Anesthesia, Tokyo, Japan
Yoko, Y.
National Center for Child Health and Development, Division of Obstetric Anesthesia, Tokyo, Japan
Yasuyuki, S.
National Center for Child Health and Development, Department of Critical Care and Anaesthesia- Division of Anaestheia, Tokyo, Japan
ESRA Academy. Sato M. Sep 13, 2017; 190694; 184 Topic: Labour Analgesia
Dr. Masaki Sato
Dr. Masaki Sato

Access to Premium content is currently a membership benefit.

Click here to join ESRA or renew your membership.

Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

Behcet’s disease (BD) is characterized by inflammation of the blood vessels and tissues. Symptoms vary but may include a compromised immune system and heightened inflammatory reactions.They may cause anaesthetic complications. We present two cases where pregnant women with BD were successfully provided with neuraxial labour analgesia.


Case 1- BD was diagnosed in a 34-year-old woman following onset of a skin pathergy at the age of 25 years. She received prednisolone, and her symptoms improved. She was admitted to our hospital for labour management; she experienced a spontaneous labour onset before scheduled induction. Aspirin and heparin were administered for thromboprophylaxis. After a 7-hour wash-out of heparin, a CSE was provided using PCA. She had a vaginal delivery with no anaesthetic complication or recurrence of BD.

Case 2- BD was diagnosed in a 33-year-old woman following ulcers (oral and genital) and arthritis at the age of 31 years. She received prednisolone and colchicine and went into remission prior to pregnancy. She had a spontaneous labour onset. Epidural anaesthesia was provided upon her request. She had a vaginal delivery and no complication or recurrence of BD was observed.


We provided safely neuraxial labour analgesia for BD patiens.


Enhanced understanding of the symptoms is required. For example, 1)is BD active or in remission, 2)neurological BD and skin lesions are considered contraindications for neuraxial anaesthesia, 4)steroid cover is sometimes needed, and 4)appropriate anticoagulant therapy and neuraxial block intervals are necessary for delivery owing to the increased risk of thrombosis during pregnancy, which is exacerbated by BD.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.

Save Settings