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Related Experiment Video

Updated: Apr 16, 2026

Reproducable Paraplegia by Thoracic Aortic Occlusion in a Murine Model of Spinal Cord Ischemia-reperfusion
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[Paraplegia and pregnancy].

P Guerby1, F Vidal1, F Bayoumeu2

  • 1Pôle de gynécologie obstétrique, hôpital Paule-de-Viguier, CHU de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|February 28, 2015
PubMed
Summary
This summary is machine-generated.

Pregnancy in women with spinal cord injury necessitates a multidisciplinary approach. Vaginal delivery is recommended, with epidural analgesia managing autonomic hyperreflexia during labor.

Keywords:
AccouchementAnalgésie périduraleAutonomic hyperreflexiaDeliveryDysautonomieEpidural analgesiaGrossesseParaplégiePregnancySpinal cord injury

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Area of Science:

  • Obstetrics and Gynecology
  • Neurology
  • Rehabilitation Medicine

Background:

  • Pregnancy in women with spinal cord injury presents unique management challenges.
  • Understanding the specific characteristics of pregnancy and childbirth in this population is crucial for optimal outcomes.

Purpose of the Study:

  • To describe the management characteristics of pregnancy and childbirth in women with spinal cord injury.
  • To analyze outcomes and identify best practices for this patient group.

Main Methods:

  • Retrospective cohort study.
  • Inclusion of paraplegic patients with motor deficit who gave birth at a university hospital over an 11-year period.
  • Monitoring and outcome assessment of pregnancies.

Main Results:

  • Seventeen deliveries in 15 patients were analyzed (prevalence 0.4‰).
  • High incidence of urinary tract infections (100% lower, 75% recurrent cystitis, 31.3% pyelonephritis).
  • Cesarean rate was 47% for obstetrical reasons; 44% of vaginal deliveries required instrumental extraction. Epidural analgesia was preferred.

Conclusions:

  • Pregnancy with spinal cord injury requires a multidisciplinary team approach.
  • Autonomic hyperreflexia syndrome is a key concern, preventable with early epidural analgesia.
  • Vaginal delivery should be the standard approach whenever feasible.