Obstetric management of the patient with spinal cord injury

Research output: Contribution to journalArticle

49 Citations (Scopus)

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
Externally publishedYes

Fingerprint

Spinal Cord Injuries
Obstetrics
Autonomic Dysreflexia
Spinal Cord
Epidural Anesthesia
Hemodynamics
Pregnancy
Population

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Obstetric management of the patient with spinal cord injury. / Pereira, Leonardo.

In: Obstetrical and Gynecological Survey, Vol. 58, No. 10, 01.10.2003, p. 678-686.

Research output: Contribution to journalArticle

@article{798b3d6b671f47009600687bd27a650b,
title = "Obstetric management of the patient with spinal cord injury",
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.",
author = "Leonardo Pereira",
year = "2003",
month = "10",
day = "1",
doi = "10.1097/01.OGX.0000086419.94466.76",
language = "English (US)",
volume = "58",
pages = "678--686",
journal = "Obstetrical and Gynecological Survey",
issn = "0029-7828",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

TY - JOUR

T1 - Obstetric management of the patient with spinal cord injury

AU - Pereira, Leonardo

PY - 2003/10/1

Y1 - 2003/10/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0141594699&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141594699&partnerID=8YFLogxK

U2 - 10.1097/01.OGX.0000086419.94466.76

DO - 10.1097/01.OGX.0000086419.94466.76

M3 - Article

VL - 58

SP - 678

EP - 686

JO - Obstetrical and Gynecological Survey

JF - Obstetrical and Gynecological Survey

SN - 0029-7828

IS - 10

ER -