Robertson Katherine, Ashworth Felicity
Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Obstet Med. 2022 Jun;15(2):99-103. doi: 10.1177/1753495X211011918. Epub 2021 May 11.
Pregnancy in women with spinal cord injury is considered high risk because it may exacerbate many of their existing problems, including autonomic dysreflexia, spasms, decubitus ulcers, urinary tract infections and respiratory infections. Due to the relative rarity of spinal cord injury in the general obstetric population, clinicians often lack familiarity of these specific problems and the women themselves are usually more experienced in their own management than their obstetric team. However, studies have demonstrated that pregnancy outcomes are generally good with appropriate and experienced obstetric care. In this review, we examine the available literature and provide advice on pre-conception counselling and the antenatal, intrapartum and postnatal management of pregnant women with spinal cord injury.
脊髓损伤女性怀孕被视为高危情况，因为这可能会加重她们许多现有的问题，包括自主神经反射异常、痉挛、压疮、尿路感染和呼吸道感染。由于脊髓损伤在普通产科人群中相对罕见，临床医生通常对这些特定问题缺乏了解，而且这些女性自身在自我管理方面往往比她们的产科团队更有经验。然而，研究表明，在获得适当且经验丰富的产科护理的情况下，妊娠结局总体良好。在本综述中，我们查阅了现有文献，并就脊髓损伤孕妇的孕前咨询以及产前、产时和产后管理提供建议。
