Preconception, Antepartum, and Peripartum Care for the Woman With a Spinal Cord Injury: A Review of the Literature
| Autor: | Megan E Pagan, Richard E. McCarthy, Jason A. Pates, Michael P. Wendel, Dayna D Whitcombe, Everett F. Magann, Julie R Whittington |
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| Rok vydání: | 2021 |
| Předmět: |
Postpartum depression
Adult medicine.medical_specialty Breastfeeding 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Peripartum Period Humans Maternal Health Services 030212 general & internal medicine Intensive care medicine Spinal cord injury Spinal Cord Injuries 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology General Medicine medicine.disease Mental health Pregnancy Complications Upper respiratory tract infection Reproductive Health Autonomic dysreflexia Female Risk Adjustment business Psychosocial |
| Zdroj: | Obstetricalgynecological survey. 76(3) |
| ISSN: | 1533-9866 |
| Popis: | Importance Spinal cord injury (SCI) may result in temporary or permanent loss of sensory, motor, and autonomic function, presenting unique medical and psychosocial challenges in women during their childbearing years. Objective The aim of this study was to review the literature and describe the spectrum of pregnancy considerations, complications, and evidence-based obstetric practices in women with SCI. Evidence acquisition A literature search was undertaken using the search engines of PubMed and Web of Science using the terms "spinal cord injury" or "spinal cord complications" and "pregnancy outcomes" or "pregnancy complications." The search was limited to the English language, and there was no restriction on the years searched. Results The search identified 174 abstracts, 50 of which are the basis for this review. Pregnancy in women who have experienced an SCI requires a multidisciplinary approach. Common complications during pregnancy include recurrent urinary tract infection, upper respiratory tract infection, hypertension, venous thromboembolism, and autonomic dysreflexia (AD), which is a potentially life-threatening complication. Obstetricians should avoid potential triggers and be familiar with acute management of AD. Postpartum complications include difficulty initiating and maintaining breastfeeding and increased risk of postpartum depression and other mental health issues. Conclusions and relevance Obstetricians caring for women with an SCI must be familiar with the unique challenges and complications that may occur during pregnancy and puerperium. Relevance statement An evidence-based literature review of the care of pregnant women with spinal cord injury. |
| Databáze: | OpenAIRE |
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