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  4. Spinal cord injury during the second trimester of pregnancy

Spinal cord injury during the second trimester of pregnancy

Spinal Cord Series and Cases, 2017 · DOI: 10.1038/scsandc.2017.52 · Published: August 10, 2017

Spinal Cord InjuryWomen's HealthRehabilitation

Simple Explanation

This case report discusses a 32-year-old woman who sustained a spinal cord injury during the second trimester of her pregnancy. The report highlights the importance of a comprehensive, interdisciplinary approach to managing such cases, including rehabilitation, spinal intervention, and obstetrical care. The authors emphasize the need for specialized centers in developing health systems to address the unique challenges of SCI during pregnancy.

Study Duration
Not specified
Participants
One 32-year-old pregnant woman
Evidence Level
Level 4, Case Report

Key Findings

  • 1
    Multi-system involvement due to SCI during pregnancy necessitates careful consideration of treatment options for anesthesia, surgery, labor, and rehabilitation.
  • 2
    Surgical stabilization of the spine is considered safe during pregnancy, with precautions taken to shield the fetus from radiation during diagnostic evaluations.
  • 3
    Pregnant women with SCI are at increased risk of complications such as pressure ulcers, venous thromboembolism, and urinary tract infections, requiring proactive management and preventative measures.

Research Summary

The case report presents the management of a 32-year-old pregnant woman who sustained a C6 spinal cord injury during the second trimester following a motor vehicle accident. The patient underwent comprehensive rehabilitation, spinal stabilization surgery, and obstetrical care, ultimately delivering a premature but healthy baby via cesarean section. The report emphasizes the importance of specialized care and a multidisciplinary approach to address the complex needs of pregnant women with SCI, especially in developing health systems.

Practical Implications

Specialized Rehabilitation Centers

There is a need for specialized rehabilitation centers equipped to handle the unique challenges of SCI during pregnancy, particularly in developing health systems.

Comprehensive Care Approach

A comprehensive, interdisciplinary approach involving rehabilitation, spinal intervention, and obstetrical care is crucial for managing SCI during pregnancy.

Increased Awareness

Increased awareness among clinicians is necessary to understand and manage the unique challenges associated with SCI during pregnancy effectively.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Lack of specific data on SCI incidence in pregnant women in KSA.
  • 3
    Limited information on the long-term outcomes for both the mother and child.

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