Resident.
MFM Fellow, University of Arkansas for Medical Sciences, College of Medicine, Department of Obstetrics and Gynecology, Little Rock, AR.
Obstet Gynecol Surv. 2021 Mar;76(3):159-165. doi: 10.1097/OGX.0000000000000868.
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.
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.
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.
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.
Obstetricians caring for women with an SCI must be familiar with the unique challenges and complications that may occur during pregnancy and puerperium.
An evidence-based literature review of the care of pregnant women with spinal cord injury.
脊髓损伤 (SCI) 可能导致感觉、运动和自主功能暂时或永久丧失，这在女性生育年龄段带来了独特的医学和心理社会挑战。
本研究旨在回顾文献并描述 SCI 女性在妊娠期间的各种考虑因素、并发症以及基于证据的产科实践。
使用 PubMed 和 Web of Science 的搜索引擎，通过“脊髓损伤”或“脊髓并发症”和“妊娠结局”或“妊娠并发症”等术语进行文献检索。搜索仅限于英文，且对搜索年份没有限制。
该搜索共确定了 174 篇摘要，其中 50 篇是本综述的基础。经历过 SCI 的女性妊娠需要多学科方法。妊娠期间常见的并发症包括复发性尿路感染、上呼吸道感染、高血压、静脉血栓栓塞和自主反射异常（AD），这是一种潜在的危及生命的并发症。产科医生应避免潜在的诱因，并熟悉 AD 的急性处理。产后并发症包括母乳喂养启动和维持困难，以及产后抑郁和其他心理健康问题风险增加。
照顾 SCI 女性的产科医生必须熟悉妊娠和产褥期可能出现的独特挑战和并发症。
对脊髓损伤孕妇护理的循证文献综述。
