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Published on: October 16, 2013
Pregnancy in thoracic scoliosis
British Journal of Diseases of the Chest
|October 1, 1981
Summary
Pregnancy in women with severe thoracic scoliosis is generally safe. This study found no serious cardiorespiratory issues, with most women having vaginal deliveries, indicating good outcomes for mother and child.
Area of Science:
- Obstetrics and Gynecology
- Orthopedics
- Cardiorespirology
Background:
- Severe thoracic scoliosis can raise concerns about cardiorespiratory function during pregnancy.
- Understanding pregnancy outcomes in this patient group is crucial for clinical management.
Purpose of the Study:
- To evaluate the safety and outcomes of pregnancy in patients with severe thoracic scoliosis.
- To assess cardiorespiratory complications and delivery modes in this population.
Main Methods:
- Retrospective analysis of 118 pregnancies in 64 patients with thoracic scoliosis.
- Focus on patients with curves exceeding 60 degrees.
- Data collection on cardiorespiratory symptoms, pain, and delivery outcomes.
Main Results:
- 17% of pregnancies reported increased breathlessness; no serious cardiorespiratory problems occurred.
- 21% of pregnancies experienced increased back pain.
- Spontaneous vaginal delivery in 65%, Cesarean section in 17%, primarily for obstetric reasons.
Conclusions:
- Pregnancy and labor are not associated with serious cardiorespiratory complications in severe thoracic scoliosis.
- Obstetric outcomes are generally favorable, with most deliveries being vaginal.
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