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  4. Pregnancy, labor, and delivery outcomes of women with and without spinal cord injury

Pregnancy, labor, and delivery outcomes of women with and without spinal cord injury

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2021.2018155 · Published: January 1, 2023

Spinal Cord InjuryWomen's Health

Simple Explanation

This study compares pregnancy outcomes between women with and without spinal cord injuries (SCI). It examines complications during pregnancy, labor, and delivery, as well as newborn health. The research aims to identify specific risks and complications that are more common in women with SCI during pregnancy. This can lead to better care and interventions to prevent problems. Researchers collected data on various factors, including vital signs, urine tests, pregnancy-related conditions, and delivery details. They also tracked SCI-related issues like autonomic dysreflexia and pressure sores.

Study Duration
4 Years
Participants
18 women (6 with SCI, 12 without SCI)
Evidence Level
Case study and inception cohort comparison

Key Findings

  • 1
    Women with SCI experienced significantly more urinary tract infections (UTIs) during pregnancy compared to women without SCI.
  • 2
    Cesarean section deliveries were statistically more likely to occur for women with SCI than for women without SCI.
  • 3
    Newborns of women with SCI had significantly smaller head circumferences compared to newborns of women without SCI.

Research Summary

This study compared pregnancy outcomes between women with and without SCI, finding that women with SCI are more likely to experience UTIs during pregnancy and undergo Cesarean sections. The study also found that newborns of women with SCI had smaller head circumferences, a previously undescribed finding that warrants further investigation. Despite the small sample size, the study highlights the unique challenges faced by women with SCI who become pregnant and emphasizes the need for improved knowledge and care in this population.

Practical Implications

Enhanced Prenatal Care

Healthcare providers should be aware of the increased risk of UTIs and the potential need for Cesarean sections in pregnant women with SCI, tailoring prenatal care accordingly.

Neonatal Monitoring

Newborns of mothers with SCI should be monitored for potential growth restrictions, especially regarding head circumference.

Further Research

Larger studies are needed to confirm these findings and to investigate the underlying causes of smaller head circumferences in newborns of women with SCI.

Study Limitations

  • 1
    Small sample size
  • 2
    Limited pregnancy rates
  • 3
    Lack of centers with coordinated process to manage these women

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