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Reproductive issues for women with spina bifida
Amie B Jackson1, Marca L Sipski
1Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA. jacksona@uab.edu
The Journal of Spinal Cord Medicine
|May 14, 2005
Summary
Research on reproductive health in women with spina bifida is limited. More studies are needed to understand puberty, sexual function, and pregnancy outcomes for these women.
Area of Science:
- Reproductive Health
- Disability Studies
- Gynecology
Background:
- Limited research exists on the reproductive health of women with spina bifida.
- Existing studies are often anecdotal, hindering understanding of physiological impacts.
Purpose of the Study:
- To review existing literature on reproductive issues in women with spina bifida.
- To identify knowledge gaps and inform future research directions.
Main Methods:
- Conducted comprehensive MEDLINE searches from 1957 to present.
- Included studies on menarche, sexual maturation, gynecologic issues, sexual function, contraception, pregnancy, and menopause.
- Classified reviewed papers by level of evidence.
Main Results:
- Over 150 titles were reviewed, with 75 papers meeting inclusion criteria.
- The majority of included studies were of lower evidence levels (Level 4 and 5).
Conclusions:
- Significant gaps exist in understanding the reproductive health of women with spina bifida and other neurological disabilities.
- Controlled, prospective research is crucial for addressing lifelong reproductive and gynecologic health needs.