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.