Pregnancy Following Spinal Cord Injury

West J Med, 1991 · DOI: · Published: May 1, 1991

Spinal Cord Injury Women's Health Rehabilitation

Simple Explanation

This study examines pregnancy in women with spinal cord injuries, noting that while healthy children are possible, significant risks and special needs exist. Autonomic hyperreflexia is a complication that can occur during pregnancy in women with spinal cord injuries, especially those with injuries above T-6. It is triggered by stimuli below the injury level. Urinary tract management during pregnancy for women with SCI involves various methods, including normal voiding, Crede's method, intermittent catheterization, Foley catheter, suprapubic catheter, and ileal conduit.

Study Duration

Not specified

Participants

16 women with spinal cord injury

Evidence Level

Retrospective study

Key Findings

1
25 pregnancies occurred in 16 women with SCI, with 21 carried to full term.
2
Cesarean section was necessary in 4 patients because of inadequate progress of labor.
3
Several complications have been identified including autonomic hyperreflexia, premature labor, pressure sores, urinary tract infections, abnormal presentation, and failure to progress.

Research Summary

This retrospective study reviews 25 pregnancies in 16 women with spinal cord injuries, highlighting the challenges and potential complications during antepartum, intrapartum, and postpartum periods. The study identifies complications such as autonomic hyperreflexia, premature labor, and urinary tract infections, while also noting the importance of specialized care and monitoring. The research emphasizes that women with spinal cord injuries can have healthy pregnancies with appropriate management and awareness of potential risks.

Practical Implications

Specialized Care

Pregnant women with SCI require specialized medical care and monitoring due to the increased risks of complications.

Contingency Planning

Developing a detailed delivery plan, including proximity to medical facilities and anesthesia considerations, is crucial for managing potential emergencies.

Staff Education

Hospital staff must be educated about the specific needs and management of pregnant women with SCI to ensure appropriate care and prevent complications.

Study Limitations

1
Small sample size of 16 women.
2
Retrospective study design.
3
The medical literature pertaining to pregnant women who have had a spinal cord injury (SCI) is largely anecdotal.

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