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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
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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

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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

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