Amyotrophic lateral sclerosis (ALS) is a degenerative motor neurone disease that is rarely seen in the obstetric population. We\npresent a 32-year-old patient who presented in her fourth pregnancy with a background history of ALS. There was complete\ninvolvement of the upper and lower motor neurone system and bulbar system without involvement of the sensory system. At 34\nweeks of gestation, she had a full course of steroids and an elective caesarian section under general anaesthesia due to extreme\nrestricted mobility and difficulty of breathing. A multidisciplinary team managed the pregnancy, and both maternal and fetal\noutcomes were good.
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