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Below are links to some great articles concerning HMS. 1) “Hypermobility Syndrome” L Russek 2) “Examination and Treatment of a Patient with Hypermobility Syndrome” L Russek 3) “Benign Joint Hypermobility Syndrome: Evaluation, Diagnosis, and Management” M. Simpson 4) “The Genetic Basis of the joint hypermobility syndromes” F. Malfait, A. Hakim, A. De Paepe, R. Grahame 5) “Time to Take Hypermobility Seriously” R. Grahame 6) “British Consultant Rheumatologists’ Perceptions about the Hypermobility Syndrome: A National Survey” R. Grahame, H. Bird 7) “Living with the Hypermobility Syndrome” S. Gurley-Green 8) “Is the Benign Joint Hypermobility Syndrome Benign? H. El-Shahaly, A. El-Sherif

Pregnancy and JHS/EDSHM RODNEY GRAHAME CBE, MD, FRCP, FACP Emeritus Professor of Rheumatology, University College Hospital , LONDON . Unlike the vascular form of the Ehlers-Danlos Syndrome ( EDS ), formerly EDS Type IV, the Joint Hypermobility Syndrome (JHS), which is equivalent to EDS–hypermobility type, formerly EDS III ) is not associated with heart disease or major hazards during pregnancy and labour. However there are a number of considerations that should be borne in mind, which are listed here: Joint and spinal pains may increase during the course of the pregnancy. There is a tendency to premature rupture of the membranes and thus of premature labour and delivery. There is a tendency to rapid labour. There is an apparent resistance to the effects of local anaesthetics is seen in about two thirds of patients and can cause problems for the unwary during epidural anaesthesia or infiltration for repair of a tear of episiotomy. Healing of ...