Women who have significant heart valve problems should not attempt pregnancy. Women are advised to complete childbearing early in life. All women should have a cardiac evaluation before becoming pregnant. Women who have had composite graft surgery of the aorta need special guidance because of the harmful effects of Coumadin on the developing fetus. Cesarean section is not necessary solely because of the Marfan syndrome, but may be indicated for any reasons usually applied in labor.
Children get heavy.
Mothers and fathers often need to carry and lift their children, carry diaper bags, strollers, baby seats, etc. People with Marfan are discouraged from carrying heavy objects. Fatigue was one of my concerns. I don't know how women do it, but I know I wouldn't have the energy to give the attention necessary to children. My frequent migraines also led me to realize I wasn't physically up to the task.