Obstetric management of the patient with spinal cord injury

Research output: Contribution to journalReview article

50 Scopus citations

Abstract

Pregnancies in spinal cord-injured patients present unique clinical challenges to obstetric providers. Spinal cord injury (SCI) alters the function of multiple organ systems, and chronic medical conditions are extremely common in this patient population. Autonomic dysreflexia (ADR) is a potentially life-threatening complication of SCI, usually involving patients with spinal cord lesions at or above the T6 level. Intrapartum care of women with SCI is particularly complicated, and labor is the period during which ADR is most likely to arise. A multidisciplinary team in a unit capable of invasive hemodynamic monitoring should deliver these patients. Epidural anesthesia should be administered early in labor to prevent ADR. If proper precautions are taken, most patients with SCI will have successful vaqinal deliveries at term.

Original languageEnglish (US)
Pages (from-to)678-686
Number of pages9
JournalObstetrical and Gynecological Survey
Volume58
Issue number10
DOIs
StatePublished - Oct 1 2003

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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