Aatik Arsh1, Haider Darain2, Syed Muhammad Ilyas3, Amir Zeb4. 1. Physiotherapist Paraplegic Centre, Peshawar, Pakistan. 2. Assistant Professor Khyber Medical University, Peshawar, Pakistan. 3. CEO Paraplegic Centre, Peshawar, Pakistan. 4. HOD Physiotherapy Department Paraplegic Centre, Peshawar, Pakistan.
Abstract
INTRODUCTION: Traumatic spinal cord injury (SCI) is one of the major causes for poor outcomes of pregnancy. Injury during pregnancy is uncommon; therefore, outcome data are scarce. This case series presents outcomes of pregnancy in five women who sustained SCI during their pregnancies. CASE PRESENTATION: Five women who sustained SCIs during pregnancy (age range: 24-38 years) were identified and included in this case series. The causes of SCI in this population were fall from heights (cases 1 and 2), road traffic accidents (cases 3 and 4) and firearm injury (case 5). Two of the females were managed conservatively (cases 1 and 5) and the rest underwent surgical procedures for fixing their spine. Out of these patients, four patients delivered normal healthy babies, while the baby of one patient died within 1 hour after delivery. DISCUSSION: Limited data about the outcomes of pregnancy in women who sustained SCIs during pregnancy are available in the literature. The outcomes of pregnancy in women who sustained SCIs during the first trimester are not satisfactory, and special attention may be needed to improve the expected outcomes. Data from our study show similar findings to developed countries.
INTRODUCTION:Traumatic spinal cord injury (SCI) is one of the major causes for poor outcomes of pregnancy. Injury during pregnancy is uncommon; therefore, outcome data are scarce. This case series presents outcomes of pregnancy in five women who sustained SCI during their pregnancies. CASE PRESENTATION: Five women who sustained SCIs during pregnancy (age range: 24-38 years) were identified and included in this case series. The causes of SCI in this population were fall from heights (cases 1 and 2), road traffic accidents (cases 3 and 4) and firearm injury (case 5). Two of the females were managed conservatively (cases 1 and 5) and the rest underwent surgical procedures for fixing their spine. Out of these patients, four patients delivered normal healthy babies, while the baby of one patient died within 1 hour after delivery. DISCUSSION: Limited data about the outcomes of pregnancy in women who sustained SCIs during pregnancy are available in the literature. The outcomes of pregnancy in women who sustained SCIs during the first trimester are not satisfactory, and special attention may be needed to improve the expected outcomes. Data from our study show similar findings to developed countries.
Authors: D A Theodorou; G C Velmahos; I Souter; L S Chan; P Vassiliu; R Tatevossian; J A Murray; D Demetriades Journal: Am Surg Date: 2000-09 Impact factor: 0.688
Authors: Aatik Arsh; Haider Darain; Amir Zeb; Sana Ullah; Irfan Ullah; Syed Muhammad Ilyas Journal: Pak J Med Sci Date: 2019 Sep-Oct Impact factor: 1.088
Authors: Ajmal Zemmar; Ahmed Al-Jradi; Vincent Ye; Ismail Al-Kebsi; Hugo Andrade-Barazarte; Emal Zemmar; Josue Avecillas-Chasin; Iype Cherian; Andrei V Krassioukov; Juha Hernesniemi Journal: Surg Neurol Int Date: 2018-12-24