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  4. Current Pregnancy Among Women with Spinal Cord Injury: Findings from the U.S. National Spinal Cord Injury Database

Current Pregnancy Among Women with Spinal Cord Injury: Findings from the U.S. National Spinal Cord Injury Database

Spinal Cord, 2015 · DOI: 10.1038/sc.2015.88 · Published: November 1, 2015

Spinal Cord InjuryWomen's HealthRehabilitation

Simple Explanation

This study examined how common pregnancy is among women with spinal cord injuries (SCI) using data from a large U.S. database. Researchers looked at factors like age, marital status, and the severity of the SCI to see if they were related to pregnancy. The study found that pregnancy rates among women with SCI are similar to those of other women with chronic physical disabilities.

Study Duration
Not specified
Participants
1,907 women with spinal cord injury
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Approximately 2.0% of women with SCI reported being pregnant in the past year.
  • 2
    Younger age at the time of injury was significantly associated with current pregnancy.
  • 3
    Women who were married or partnered, had a sports-related SCI, had higher motor scores, and more positive psychosocial scores were more likely to be pregnant.

Research Summary

This cross-sectional study examined the prevalence of pregnancy among women with spinal cord injury (SCI) using the U.S. National Spinal Cord Injury Database. The study found that 2.0% of women with SCI reported pregnancy within the prior 12 months, a rate similar to women with other chronic mobility impairments. Factors such as younger age at injury, marital status, motor score, and mobility and occupation scale scores were significantly associated with current pregnancy.

Practical Implications

Inform Women with SCI

Provide women with SCI with information about pregnancy experiences and outcomes.

Educate Clinicians

Educate clinicians providing care to women with SCI about their reproductive health.

Improve Pre-conception Planning

Findings can help inform pre-conception planning and obstetrical care for women with SCI.

Study Limitations

  • 1
    The 'current pregnancy' indicator was created from hospitalizations for pregnancy-related events.
  • 2
    There are 4-year gaps in coverage of time between interviews.
  • 3
    NSCID does not gather data on miscarriages, complications of pregnancy, or birth outcomes.

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