Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T04:33:45.998Z Has data issue: false hasContentIssue false

Chapter 28 - Pregnancy with Spinal Cord Injury

from Section 4 - Neurological Disorders in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Rasha Abouelmagd  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
Get access

Summary

A 33-year-old primigravida at 16 weeks’ gestation is referred by her primary care provider for obstetrical care. She was in a car accident four years ago that resulted in paraplegia due to a T4 spinal cord injury (SCI).

Keywords

Autonomic dysreflexia, pregnancyPreeclampsiaSpinal cord injury, prenatal investigationsAntenatal, delivery, postpartum management
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 377 - 384
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Readings

Andretta, E, Landi, LM, Cianfrocco, M, et al. Bladder management during pregnancy in women with spinal-cord injury: an observational, multicenter study. Int Urogynecol J. 2019;30:292–300.CrossRefGoogle ScholarPubMed
Berghella, V. Maternal-Fetal Evidence Based Guidelines. Boca Raton, FL: CRC Press; 2017.CrossRefGoogle Scholar
Dawood, R, Atlanis, E, Ribes-Pastor, P, Ashworth, F. Pregnancy and spinal cord injury. Obstetr Gynaecol. 2014;16:99–107.CrossRefGoogle Scholar
Krassioukov, A, Warburton, DER, Teasell, R, et al. A systematic review of the management of autonomic dysreflexia following spinal cord injury. Arch Phys Med Rehabil. 2009 April;904(4):682–695.CrossRefGoogle Scholar
Kuczkowski, KM. Labor analgesia for the parturient with spinal cord injury: what does an obstetrician need to know? Arch Gynecol Obstet. 2006 May;274(2):108–112.Google Scholar
McLain, AB, Massengill, T, Klebine, P. Pregnancy and women with spinal cord injury. Arch Phys Med Rehabil. 2016;97(3):497–498.Google Scholar
Obstetric management of patients with spinal cord injuries. Committee Opinion No. 808. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2020 May;135(5):e230–e236.Google Scholar
Periera, L. Obstetric management of the patient with spinal cord injury. Obstet Gynecol Surv. 2003;58:676–687.Google Scholar
Petsas, A, Drake, J. Perioperative management for patients with a chronic spinal cord injury. BJA Education. 2015;15(3):123–130.CrossRefGoogle Scholar
Sharpe, EE, Arendt, KW, Jacob, AK, et al. Anesthetic management of parturients with pre-existing paraplegia or tetraplegia: a case series. IJOA. 2014;11:77–84.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×