Obstetric and Neonatal Outcomes in People Who Acquired a Spinal Cord Injury During Pregnancy |
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| Institution: | 1. Temerty Faculty of Medicine, University of Toronto, Toronto, ON;2. Department of Obstetrics and Gynaecology, Division of Maternal-Fetal Medicine, Sunnybrook Health Sciences Centre, University of Toronto, ON;1. Division of Neonatology, Department of Pediatrics, University of Ottawa, Ottawa, ON;2. Clinical Research Unit, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON;3. Division of Infectious Disease, Department of Pediatrics, University of Ottawa, Ottawa, ON;1. University of Toronto, Department of Obstetrics and Gynaecology, Toronto, ON;2. McMaster University, Department of Family Medicine, Hamilton, ON;3. University of British Columbia, Department of Obstetrics and Gynaecology, Vancouver, BC;4. University of Calgary, Department of Obstetrics and Gynaecology, Calgary, AB;5. McMaster University, Department of Obstetrics and Gynaecology, Hamilton, ON;1. Department of Emergency and General Medicine, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan;2. Department of Dermatology, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan |
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| Abstract: | ObjectiveThe objectives of this study were to determine the obstetric and neonatal outcomes of people who acquired spinal cord injuries (SCI) during pregnancy.MethodsThis is part of an international observational questionnaire examining pregnancy outcomes of people with SCI. The outcome measures included demographics, level of injury and American Spinal Injury Association scores, prenatal and postnatal complications, and neonatal outcomes.ResultsOf 780 responses, 14 (1.79%) participants reported acquiring an SCI while pregnant. 64.2% (9/14) of injuries were due to trauma. Of 14 pregnancies, 1 person miscarried, and 3 pregnancies were terminated. There were 11 live births. One participant had twins and 9 live births were singletons. Six participants delivered vaginally, 3 had a cesarean delivery and 1 was unreported. The preterm birth rate was 54.5% (6/11). Approximately 36% (4/11) of newborns were admitted to the neonatal intensive care unit. The average birth weight reported was 2409.7 g (456.3 g–3458.6 g). Forty percent (4/10) of participants reported experiencing postpartum blues or depression. Sixty percent (6/10) of participants breastfed for over 2 weeks.ConclusionsThis is the largest known cohort to date of persons acquiring SCI during pregnancy. The most common cause of SCI was a motor vehicle accident. Complications included preterm birth and neonatal intensive care unit admission. People who have an SCI during pregnancy are at risk for complications; however, positive pregnancy and neonatal outcomes are possible. Absolute small numbers of this event limit the ability to assess incidence of outcomes. |
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| Keywords: | spinal cord injuries pregnancy outcome premature birth wounds and injuries parturition breastfeeding |
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