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Related Experiment Videos

Preterm labor in the quadriplegic parturient.

V A Catanzarite, J E Ferguson, C Weinstein

    American Journal of Perinatology
    |April 1, 1986
    PubMed
    Summary

    Pregnant individuals with quadriplegia can now recognize preterm labor through autonomic hyper-reflexia symptoms like flushing and headache. Early diagnosis and tocolytic therapy led to a positive outcome for both mother and neonate.

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    BJOG : an international journal of obstetrics and gynaecology·2015

    Area of Science:

    • Obstetrics and Gynecology
    • Neurology
    • Maternal-Fetal Medicine

    Background:

    • Preterm labor is a significant concern in pregnant individuals with quadriplegia.
    • Diagnosing preterm labor in quadriplegic patients is challenging due to impaired sensation of uterine contractions.

    Observation:

    • A pregnant patient with quadriplegia learned to identify uterine contractions through symptoms of autonomic hyper-reflexia.
    • These symptoms included flushing, headache, and piloerection, which served as indicators of labor.

    Findings:

    • The patient's preterm labor was successfully managed with tocolytic therapy.
    • This intervention resulted in a favorable outcome for the neonate.

    Implications:

    • Increased physician and patient awareness is crucial for early diagnosis of preterm labor in quadriplegic individuals.
    • Recognizing autonomic hyper-reflexia symptoms as potential indicators of uterine contractions can improve maternal and neonatal care.

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