Department of Medical Sciences, Örebro University, Örebro, Sweden.
National Board of Health and Welfare, Stockholm, Sweden.
Acta Obstet Gynecol Scand. 2022 Nov;101(11):1282-1290. doi: 10.1111/aogs.14440. Epub 2022 Aug 28.
The aim of this study was to describe the rate of pregnancy in spinal cord injured women in Sweden as well as pregnancy, delivery, and neonatal outcomes.
This study was based on data from the Swedish Medical Birth Register and the National Patient Register. The study population included women with spinal cord injury who gave birth in Sweden during the period 1997 to 2015. The general population was used as reference and included all non-spinal cord injured patients who gave birth during the same period of time.
In the spinal cord injury group, 109 births were identified. Eighty-nine (82%) of them were among paraplegic women and 20 (18%) were among tetraplegic women. Women with spinal cord injury in our study population had urinary tract infections during pregnancy in five cases (5%) and anemia during pregnancy in nine cases (8%), compared with 0.2% and 4%, respectively, in the general population. Compared with the general population more deliveries were induced in the study population, 18 (17%) in the spinal cord injury group and 12% in the general population. Vaginal delivery was achieved in 52 (48%) of the births with 42 of them (39%) being non-instrumental and 10 (9%) being instrumental vaginal deliveries. Elective cesarean section rate was 34% (n = 37). Sixteen infants (15%) were born preterm (gestational week <37). We found an overall low rate of pregnancy and delivery complications.
Our results show predominantly favorable outcomes of pregnancy and delivery in women with spinal cord injury as well as their infants. These results are in concordance with previous research.
本研究旨在描述瑞典脊髓损伤女性的妊娠率以及妊娠、分娩和新生儿结局。
本研究基于瑞典医疗出生登记处和国家患者登记处的数据。研究人群包括 1997 年至 2015 年期间在瑞典分娩的脊髓损伤女性。以普通人群为参照，包括同期分娩的所有非脊髓损伤患者。
在脊髓损伤组中，确定了 109 例分娩。其中 89 例（82%）为截瘫女性，20 例（18%）为四肢瘫女性。与普通人群中的 0.2%和 4%相比，我们研究人群中的脊髓损伤女性在怀孕期间有 5 例（5%）发生尿路感染，9 例（8%）发生贫血。与普通人群相比，研究人群中更多的分娩是诱导的，脊髓损伤组中有 18 例（17%），普通人群中有 12%。52 例（48%）分娩实现了阴道分娩，其中 42 例（39%）为非器械性分娩，10 例（9%）为器械性阴道分娩。选择性剖宫产率为 34%（n=37）。16 名婴儿（15%）早产（胎龄<37 周）。我们发现整体妊娠和分娩并发症发生率较低。
我们的结果表明，脊髓损伤女性及其婴儿的妊娠和分娩结局主要较好。这些结果与之前的研究一致。
