ACOG committee opinion. Obstetric management of patients with spinal cord injuries. Number 275, September 2002. Committee on Obstetric Practice. American College of Obstetrics and Gynecology.

Effective rehabilitation and modern reproductive technology may increase the number of women considering pregnancy who have spinal cord injuries (SCIs). It is important that obstetricians caring for these patients are aware of the specific problems related to SCIs. Autonomic dysreflexia is the most significant medical complication seen in women with SCIs,and precautions should be taken to avoid stimuli that can lead to this potentially fatal syndrome. Women with SCIs may give birth vaginally, but when cesarean delivery is indicated adequate anesthesia (spinal or epidural if possible) is needed.