Paraplegia and quadriplegia: special considerations during pregnancy and labor and delivery

American Journal of Obstetrics and Gynecology
J S Greenspoon, R H Paul

Abstract

Patients with spinal cord injury resulting in paraplegia or quadriplegia increasingly desire to bear children. Management by a health care team attentive to the special problems that may complicate pregnancy offers the best chance for a successful pregnancy outcome. Life-threatening autonomic hyperreflexia may occur in patients with lesions above the T5-6 level. Precautions should be taken to avoid an unsupervised delivery. Vaginal delivery is appropriate unless there is an obstetric indication for cesarean section. Surveillance for urinary tract infection, anemia, and skin ulcers is advisable.

References

Feb 1, 1978·The Australian & New Zealand Journal of Obstetrics & Gynaecology·J MorrisonG Teoh
Mar 20, 1986·The New England Journal of Medicine·A De TroyerA Heilporn

❮ Previous
Next ❯

Citations

Nov 30, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·B P JonesD H Penning
Feb 1, 1990·American Journal of Obstetrics and Gynecology·V L KatzR C Cefalo
Oct 21, 1998·Archives of Physical Medicine and Rehabilitation·S OshimaP Semik
Feb 28, 2015·Journal de gynécologie, obstétrique et biologie de la reproduction·P GuerbyO Parant
May 1, 1996·Archives of Physical Medicine and Rehabilitation·E R Baker, D D Cardenas
Jun 1, 1995·The Journal of Obstetrics and Gynaecology·Y YaginumaM Ishikawa
Sep 30, 2003·Obstetrical & Gynecological Survey·Leonardo Pereira
May 1, 1997·The Australian & New Zealand Journal of Obstetrics & Gynaecology·C Griffin, M J Peek
Dec 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A KobayashiS Hashimoto
Jul 1, 1995·Obstetrical & Gynecological Survey·G J GilsonL B Curet
Dec 1, 1991·The Journal of Urology·C S Trop, C J Bennett
Mar 1, 1992·Paraplegia·S W CharlifueM S Manley
Jul 1, 1992·The Journal of the American Paraplegia Society·S C Colachis
Nov 1, 1993·Developmental Medicine and Child Neurology·R WinchS Budden
Jun 1, 1991·British Journal of Obstetrics and Gynaecology·S J HughesH Tebbutt
May 2, 2002·MCN. the American Journal of Maternal Child Nursing·Gay Pasley Earl
Mar 31, 2021·Obstetrical & Gynecological Survey·Michael P WendelEverett F Magann
Feb 1, 1996·Archives of Physical Medicine and Rehabilitation·M A NosekG Chanpong

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.