Facioscapulohumeral muscular dystrophy-Reproductive counseling, pregnancy, and delivery in a complex multigenetic disease.

12 A more recent German study found the same difference in instrumental deliveries between German FSHD patients and the general population (15.4% versus 7%), which did not reach statistical significance. 43 Presumably this difference is due to the abdominal and pelvic muscle weakness, making it difficult to push during the last phase of child birth. 44 Consequently, FSHD patients with axial muscle weakness should be monitored closely during delivery. 6.1.2.

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