Three cases of delivery in pregnant women with spinal cord injury.

Kim, Sun Min; Yang, Hye Jin; Jun, Jong Kwan

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(1):96-102.
Published online January 1, 2009.

Three cases of delivery in pregnant women with spinal cord injury.

Sun Min Kim, Hye Jin Yang, Jong Kwan Jun

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. jhs0927@snu.ac.kr

Abstract

Effective rehabilitation and assisted reproductive technology may increase the number of women considering pregnancy who have spinal cord injuries. It is important that obstetricians caring for these patients are aware of the specific problems related to spinal cord injuries. Autonomic dysreflexia is the most significant medical complication found in women with spinal cord injuries, and precautions should be taken to avoid stimuli that can lead to this potentially fatal complication. Women with spinal cord injuries may give birth vaginally, but when cesarean delivery is indicated, adequate anesthesia is needed. We report three cases of delivery in patients with spinal cord injury.

Key Words: Pregnancy, Spinal cord injury, Autonomic dysreflexia