Pregnancy in a spinal cord-injured bilateral total leg amputee: Management and considerations

A 35-year-old woman, gravida 2, para 0, was seen at 20 weeks' gestation with complete T10 spinal cord transection at age 15 years, subsequent bilateral total leg amputation, urinary diversion, colostomy, and lumbar spine resection. Pregnancy complications included recurrent urinary tract infect...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2003-04, Vol.188 (4), p.1096-1099
Main Authors: Ehrenberg, Hugh M., Mercer, Brian M., Catalano, Patrick, Fisgus, John R.
Format: Article
Language:English
Subjects:
Abscess - complications
Abscess - surgery
Adult
amputation
Amputees
Biological and medical sciences
Cesarean Section
Female
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Kidney Papillary Necrosis - complications
Kidney Papillary Necrosis - microbiology
Labor Presentation
Leg
Lumbosacral Region
Medical sciences
Obstetric Labor, Premature - complications
Pregnancy
Pregnancy Complications
Pregnancy Complications, Infectious
Skin Diseases - complications
Skin Diseases - surgery
Spinal Cord Injuries - complications
spinal cord injury
Traumas. Diseases due to physical agents
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Description
Summary:A 35-year-old woman, gravida 2, para 0, was seen at 20 weeks' gestation with complete T10 spinal cord transection at age 15 years, subsequent bilateral total leg amputation, urinary diversion, colostomy, and lumbar spine resection. Pregnancy complications included recurrent urinary tract infections, preterm contractions without cervical change, lumbosacral abscesses, and fetal malpresentation. Delivery was through cesarean section near term. (Am J Obstet Gynecol 2003;188:1096-9.)
ISSN:0002-9378
1097-6868
DOI:10.1067/mob.2003.12