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Pregnancy in patients with preexisting transverse myelitis
V Berghella1, T Spector, P Trauffer
1Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Background:
Although several cases of pregnancies of traumatic spinal cord injury patients have been reported, to our knowledge, only one case has been reported detailing the perinatal outcome in a patient with preexisting transverse myelitis.
Case:
The prenatal course and pregnancy outcome in two patients with preexisting transverse myelitis is presented. The major complications encountered were urinary tract infections and mobility problems.
Conclusion:
Patients with preexisting transverse myelitis can have successful pregnancies with term vaginal deliveries. Prevention of potential complications, such as anemia, preterm labor and delivery, decubitus ulcers, and autonomic dysreflexia can be achieved with coordinated multidisciplinary management.
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