4. CONCLUSION
For the effective management of pregnant women with mastocytosis,
triggers of mast cell degranulation should be avoided. Early epidural
analgesia is effective for relieving stress and pain during labor, and
it is necessary to avoid drugs that induce histamine release and to use
drugs that suppress it. The team involved in the delivery, including
anesthesiologists, obstetricians, and midwives, should discuss this with
patients with systemic mastocytosis from pregnancy to after delivery to
prevent an acute exacerbation of their symptoms.