A woman with spinal cord injury can become pregnant and deliver healthy children. However, the woman needs to be monitored for early detection of certain complications before, during and after delivery.


Common complications that can occur before, during and after delivery:

(1) autonomic dysreflexia/hyperreflexia (especially if the level of injury is above T6 and if the woman is induced with pitocin/oxytocin)

(2) decubital ulceration

(3) wound dehiscence (including episiotomy dehiscence)

(4) urinary tract infection

(5) urinary and/or fecal incontinence

(6) anemia

(7) thrombophlebitis

(8) problems in weight transfer

(9) nausea

(10) preeclampsia or toxemia (which needs to be differentiated from autonomic dysreflexia)

(11) seizures

(12) bladder stones

(13) breakdown of a spinal fusion

(14) cardiac arrhythmias


Peripartum problems may include:

(1) failure to detect labor pains

(2) inability to bear down

(3) failure to progress

(4) premature cervical dilatation and labor

(5) delivery of an infant small for gestational age

(6) abnormal fetal presentation

(7) uterine atony post-delivery


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