Pregnancy in kyphoscoliosis: Benefit of non-invasive ventilatory support

Reddy, R.; Evans, Evan; Khoo, Olivia; Allen, Martin

doi:10.1080/01443610500060867

Cited by 16 publications

(10 citation statements)

References 3 publications

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“…It is important that a team approach is needed according to gestations of pregnancy. Chest physicians and obstetricians are aware of the risks of respiratory failure associated with pregnancy in kyphoscoliosis patients with apparently stable but serious [6]. We divide management into three stages.…”

Section: Discussionmentioning

confidence: 99%

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Woman Giving Birth With Kyphoscoliosis Spinal Cord Injury and Placenta Previa: A Case Report

Kim

2012

J Med Cases

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Kyphoscoliosis is a spine deformity with posterior convex angulations greater than 40 degrees of a segment of vertebral column, combined with lateral and rotational deformities. Pregnancy of a patient with kyphoscoliosis is a very dangerous phenomenon. The majority of patients with spinal cord injuries involved like in this case are highly likely to have complications during pregnancy. The patient in this case suffered a spinal cord injury and kyphoscoliosis 20 years ago due to slip down. There has not been any report that a pregnant woman accompanied with kyphoscoliosis, spinal cord injury and placenta previa low-lying gave birth to a baby after 37 gestational weeks. The patient was transferred to our hospital due to cerebral hemorrhage during the confinement period, however, she gained a complete recovery under treatment and thus left our hospital. There is no exact guideline to keep pregnancy when high risk patients desire to maintain pregnancy. We report the case of a woman giving birth with kyphoscoliosis, spinal cord injury and placenta previa low-lying with a brief review of literature.

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Section: Discussionmentioning

confidence: 99%

“…The patient underwent a Cesarean section with intubation under general anesthesia. There have been some reports of benefit of non-invasive ventilator support [6]. The skillful surgery team had to reduce the operation time.…”

Section: Discussionmentioning

confidence: 99%

Woman Giving Birth With Kyphoscoliosis Spinal Cord Injury and Placenta Previa: A Case Report

Kim

2012

J Med Cases

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“…Management and delivery was therefore a balance of neonatal versus maternal mortality and morbidity, as is frequently the case in perinatal management. There is no literature on maternal outcome with such poor respiratory function and low pregnancy weight in SMA, though a limited amount of literature exists for other causes of respiratory compromise [11, 27, 28]. …”

Section: Discussionmentioning

confidence: 99%

Clinical Commentary: Obstetric and Respiratory Management of Pregnancy with Severe Spinal Muscular Atrophy

Flunt

Andreadis

Menadue

et al. 2009

Obstetrics and Gynecology International

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We present a combined obstetric and respiratory perspective on two pregnancies for a woman with severe Type 2 Spinal Muscular Atrophy (SMA). Our patient had the lowest prepregnancy weight (20 kg) and vital capacity of 0.34 L (VC 11% predicted) yet to be reported in the sparse literature on pregnancy with SMA. She delivered two live healthy infants via planned caesarean section without pregnancy or neonatal complication. We describe the respiratory and obstetric management techniques used for a pregnancy with this degree of respiratory compromise.

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“…The former consist of pulmonary restriction, acute respiratory failure (ARF) and CRF, cor pulmonale and heart failure. As the greatest risk of pulmonary function deterioration usually occurs in the third trimester, monitoring of arterial blood gases and overnight oxymetry should be performed to identify when ventilation support should be commenced [18]. Berman et al [19] have indicated that pregnancy exacerbates scoliosis due to mechanical stress and pregnancy hormones; hence, Wong et al [16] have suggested reassessment of the spinal curvature after delivery.…”

Section: Pregnancy and Deliverymentioning

confidence: 99%

Kyphoscoliosis—What Can We Do for Respiration besides NIV?

Pajdziński

Młynarczyk

Miłkowska-Dymanowska

et al. 2017

Advances in Respiratory Medicine

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Kyphoscoliosis (KS) is a significant clinical problem with no precise guidelines for management, especially concerning respiratory pathology. No exhaustive systematic review has yet been performed. The aim was to conduct a systematic review of available data concerning the pathophysiology and treatment of kyphoscoliosis. An electronic systematic search compliant with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. The Pubmed database was examined and the search was updated to November 10, 2016. In total, 188 articles were screened, and 52 full text articles were then assessed for eligibility. As 24 of them met exclusion criteria, only 28 articles were further analysed. These articles were published in 18 journals from 1959 to 2015, with 25 being original studies, and one randomised control trial. The total corpus included 18 prospective studies, 7 retrospective studies and 3 case reports. KS is a significant complex, multidisciplinary clinical problem. The heterogeneous nature of the majority of published studies prevents unequivocal conclusions being drawn. Despite a great progress in knowledge about the respiratory system functioning and pathology in KS, the treatment seems to be not yet quite satisfactory. Therefore, there is a strong need for large prospective studies and unified clinical guidelines on the management of this group of patients.

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Pregnancy in kyphoscoliosis: Benefit of non-invasive ventilatory support

Cited by 16 publications

References 3 publications

Woman Giving Birth With Kyphoscoliosis Spinal Cord Injury and Placenta Previa: A Case Report

Woman Giving Birth With Kyphoscoliosis Spinal Cord Injury and Placenta Previa: A Case Report

Clinical Commentary: Obstetric and Respiratory Management of Pregnancy with Severe Spinal Muscular Atrophy

Kyphoscoliosis—What Can We Do for Respiration besides NIV?

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