Pregnancy and spinal cord injury
Article first published online: 23 APR 2014
© 2014 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 16, Issue 2, pages 99–107, April 2014
How to Cite
Pregnancy and spinal cord injury. The Obstetrician & Gynaecologist 2014;16:99–107., , , .
- Issue published online: 23 APR 2014
- Article first published online: 23 APR 2014
- Manuscript Accepted: 10 DEC 2013
- Manuscript Revised: 27 JUL 2013
- Manuscript Received: 19 AUG 2012
- autonomic dysreflexia;
- spinal cord injury
- Pregnancy exacerbates most problems associated with spinal cord injury (SCI).
- Diagnosis of labour in women with spinal cord injury above T10 of the spinal cord can be challenging.
- Women with SCI should aim for a vaginal delivery.
- Autonomic dysreflexia is life threatening and requires immediate treatment.
- Early epidural analgesia in labour will reduce the incidence of autonomic dysreflexia.
- Antenatal management of women with SCI.
- Care of a woman in labour.
- Diagnosis and treatment of autonomic dysreflexia.
- Women with chronic SCI are knowledgeable about the management of their disability, at times more than the attending medical personnel. Not listening to them may undermine the confidence they have in their care.
- Women with SCI are concerned that a spinal or epidural analgesia may cause further injury to their spinal cord.