Help! I'm Hypermobile

Pregnancy and Hypermobility: The Must-Know hEDS/HSD Pregnancy Guidelines with Dr. Sally Pezaro

Dec 3, 2025
Dr Sally Pezaro, midwife and academic specializing in inclusive perinatal research, co-authored clinical guidelines for pregnancy with hEDS/HSD. She outlines practical pregnancy and birth recommendations. Short, clear advice on preconception planning, essential extra supports like physio and anaesthetist review, and how connective tissue differences affect labour, delivery choices, healing, and postpartum care.
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ADVICE

Share The hEDS HSD Pregnancy Guidelines With Clinicians

  • Do give clinicians the Management of Childbearing with hEDS/HSD guidelines to follow during pregnancy.
  • Sally Pezaro co-created the 34-page, multidisciplinary guideline to help clinicians make evidence-based decisions for hypermobile pregnancies.
INSIGHT

Pregnancy Can Improve Symptoms For Some People

  • Insight: Pregnancy can improve symptoms for some people with hEDS/HSD and be the best time of their lives.
  • Sally notes blood volume and hormonal changes may reduce symptoms, so classification as automatically high-risk may be premature.
ADVICE

Book Physio Anesthetist And Birth Place Planning

  • Do arrange physiotherapy, anesthetist review, and a birth place plan during pregnancy.
  • Sally recommends early physio for joint/pelvic support, an anesthetist review because anaesthesia may fail, and planning birth location in advance.
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