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Kyphoscoliosis complicating pregnancy
1Department of Obstetrics and Gynecology, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong.
Summary
Modern obstetric and orthopedic care have significantly improved pregnancy outcomes for women with kyphoscoliosis. Earlier risks are no longer valid, with no maternal or perinatal mortality observed in this study.
Area of Science:
- Obstetrics and Gynecology
- Orthopedic Surgery
- Maternal-Fetal Medicine
Background:
- Kyphoscoliosis presents unique challenges during pregnancy.
- Historical data suggest high maternal and perinatal risks.
- Advances in medical care may have altered these outcomes.
Purpose of the Study:
- To evaluate pregnancy outcomes in patients with kyphoscoliosis.
- To assess the impact of modern obstetric and orthopedic interventions.
- To compare current risks with historical data.
Main Methods:
- Retrospective review of 17 patients with 27 pregnancies (1980-1994).
- Data sourced from an obstetric audit database.
- Analysis of obstetric and orthopedic records.
Main Results:
- Incidence of kyphoscoliosis in pregnancy was 0.029%.
- Mean maternal age was 32.7 years; mean height 140.7 cm.
- High vaginal delivery rate, no cardiorespiratory compromise, no maternal or perinatal mortality.
Conclusions:
- Maternal and perinatal risks associated with kyphoscoliosis are lower than previously reported.
- Previous spinal surgery may contribute to favorable pregnancy outcomes.
- Modern care has improved safety for pregnancies complicated by kyphoscoliosis.