Pregnancy in Women With Spinal Cord Injuries

Atterbury, Jana L.; Groome, Lynn J.

doi:10.1016/s0029-6465(22)02627-5

Cited by 26 publications

(4 citation statements)

References 28 publications

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“…Jackson and Wadley 15 reported significantly more UTIs complicating post-spinalcord injury pregnancies (45.5%) than pre-injury pregnancies (8.2%) (P < 0.05). Another study 14 pyelonephritis during pregnancy as high as 30%, 7 although in a recent systematic review of women with spinal cord injury, pyelonephritis developed in 5.6% of women with a UTI and one case (1%) of septicemia leading to preterm labour was described. 16 Similarly, women with spina bifida, who are often born with renal and genitourinary abnormalities, 17,18 have been reported to have an increased incidence of UTI in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 They also present various obstetrical challenges, including preterm labour and unattended delivery 4,5 and the risk of prematurity. 6,7 Concerns about anaesthesia include managing AHR and the technical challenges of providing neuraxial anaesthesia, given these women's irregular spinal anatomy. 8,9 Decision about the mode of delivery always require complex discussion, the complexity of which depends on the severity and type of lesion, the patients' wishes, and the potential for complications.…”

Section: Introductionmentioning

confidence: 99%

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Pregnancy Outcomes in Women With Spinal Cord Lesions

Sterling

Keunen

Wigdor

et al. 2013

Journal of Obstetrics and Gynaecology Canada

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pregnancy Outcomes in Women With Spinal Cord Lesions

Sterling

Keunen

Wigdor

et al. 2013

Journal of Obstetrics and Gynaecology Canada

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“…Nevertheless, the ability to achieve orgasm does not appear to be impacted by SCI, regardless of level or completeness of injury but that the latency to complete orgasm is longer in women with SCI compared to uninjured individuals (Sipski et al, 2001). Moreover, SCI women have been shown to have normal menstrual cycles within the year of injury onset and are able to conceive and carry infants to full term (Cross et al, 1992;Reame, 1992;Atterbury and Groome, 1998).…”

Section: Femalementioning

confidence: 99%

Consequences of spinal cord injury on the sympathetic nervous system

Wulf

Tom

2023

Front. Cell. Neurosci.

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Spinal cord injury (SCI) damages multiple structures at the lesion site, including ascending, descending, and propriospinal axons; interrupting the conduction of information up and down the spinal cord. Additionally, axons associated with the autonomic nervous system that control involuntary physiological functions course through the spinal cord. Moreover, sympathetic, and parasympathetic preganglionic neurons reside in the spinal cord. Thus, depending on the level of an SCI, autonomic function can be greatly impacted by the trauma resulting in dysfunction of various organs. For example, SCI can lead to dysregulation of a variety of organs, such as the pineal gland, the heart and vasculature, lungs, spleen, kidneys, and bladder. Indeed, it is becoming more apparent that many disorders that negatively affect quality-of-life for SCI individuals have a basis in dysregulation of the sympathetic nervous system. Here, we will review how SCI impacts the sympathetic nervous system and how that negatively impacts target organs that receive sympathetic innervation. A deeper understanding of this may offer potential therapeutic insight into how to improve health and quality-of-life for those living with SCI.

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“…They also have a higher incidence of caesarean section. 12,13 Additional aids may be required during pregnancy. Increased incidence of smoking, depression and underlying medical disorders such as diabetes and obesity have also been observed in these women.…”

Section: Introductionmentioning

confidence: 99%

VTE prophylaxis in pregnant people with chronic physical disability: Data from a physicians survey and the need for guidance

2022

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Background International guidelines recommend risk assessment during the antepartum and postpartum period to inform VTE prophylaxis. We aimed to evaluate physicians’ approach to VTE prophylaxis of women with chronic physical disability (CPD) during pregnancy. Methods A cross-sectional study consisting of a self-administered electronic questionnaire was sent to specialists across Canada. Results Seventy-three participants responded to the survey, and 55 (75.3%) completed the survey including 33 (60%) Maternal Fetal Medicine (MFM) specialists and 22 (40%) Internal Medicine (IM) specialists including physicians with interest in Obstetric Medicine. Our study shows considerable variation in VTE thromboprophylaxis during pregnancy with CPD. Most respondents favoured antepartum (67.3%) and postpartum (65.5%) VTE prophylaxis for pregnancies within a year of spinal cord injury. Conclusions In order to better manage this complex population CPD should be considered as a risk factor for development of VTE.

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Pregnancy in Women With Spinal Cord Injuries

Cited by 26 publications

References 28 publications

Pregnancy Outcomes in Women With Spinal Cord Lesions

Pregnancy Outcomes in Women With Spinal Cord Lesions

Consequences of spinal cord injury on the sympathetic nervous system

VTE prophylaxis in pregnant people with chronic physical disability: Data from a physicians survey and the need for guidance

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