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CASE REPORT article

Front. Med.

Sec. Obstetrics and Gynecology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1576161

Successful perinatal management in pregnant women with R9 limb-girdle muscular dystrophy with a left ventricular ejection fraction of 27%: A case report

Provisionally accepted
XIE  WENCHIXIE WENCHI1Kang  LandanKang Landan2Luo  DanLuo Dan1He  QingquanHe Qingquan2Mei  JieMei Jie3*
  • 1Southwest Medical University, Luzhou, Sichuan, China
  • 2University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China
  • 3Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan Province, China

The final, formatted version of the article will be published soon.

A 29-year-old patient with muscle weakness at 26+5 weeks of pregnancy was hospitalized for heart failure, and genetic testing revealed that she had R9 limb-girdle muscular dystrophy (LGMDR9). Because LGMDR9 is associated with cardiac and respiratory dysfunction, to prevent further deterioration of cardiac function and muscle weakness, we promoted fetal lung maturation and performed an emergency cesarean section at 29+2 weeks. This case highlights the importance of choosing the right mode of delivery, timing of delivery, and early genetic testing for LGMDR9 patients.

Keywords: case report, Limb-girdle muscular dystrophy, Pregnancy, cardiomyopathy, Heart Failure

Received: 13 Feb 2025; Accepted: 14 Jul 2025.

Copyright: © 2025 WENCHI, Landan, Dan, Qingquan and Jie. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mei Jie, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, 611731, Sichuan Province, China

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