Thank you for your post. In order to have any edits show up on the map within Avenza Maps, you need to ensure that you are flattening the document on export from Adobe as any edits create a new layer which is not supported within Avenza Maps. There are a couple of ways that you can flatten this PDF on export:
1. Advanced > PDF Optimizer or File > Save As > Optimized PDF
2. You can use a set of tools called Preflight to ensure the document is flattened
If you have any further questions or problems with this, please reach out to us via help.avenzamaps.com and we’d be happy to help further!