PM R, 2019 · DOI: 10.1002/pmrj.12122 · Published: August 1, 2019
This study looked at pregnancy outcomes for women with spinal cord injuries, paralysis, or spina bifida using data from Washington State. The researchers compared these women to a group of women without disabilities to see if there were any differences in pregnancy, delivery, and infant health. The study found that women with these conditions had a higher risk of certain complications during pregnancy and delivery, but their infants did not have increased long-term health problems.
Optimization of preconception counseling and medical management for conditions such as tobacco use, diabetes, and hypertension is crucial.
Close observation during pregnancy for monitoring and management of complications such as UTIs is essential.
Careful postpartum surveillance, especially in the first year, is needed to address risks of depression and injury.