title: Pregnancy complicated by chronic spinal cord injury and history of autonomic hyperreflexia.
abstract: BACKGROUND
  Women with spinal cord injuries are at risk for autonomic hyperreflexia during labor.
  
  
  METHODS
  A 36-year-old woman, gravida 4, para 2, abortus 1, with a spinal cord injury and a positive antibody screen result had had a previous pregnancy complicated by autonomic hyperreflexia during labor. Autonomic hyperreflexia did not occur during serial amniocenteses and fetal transfusions for isoimmunization or intrapartum.
  
  
  CONCLUSIONS
  Intrauterine procedures and vaginal delivery were accomplished without autonomic hyperreflexia in this pregnancy. Intrauterine procedures and vaginal delivery might be done safely in women with histories of autonomic hyperreflexia.
authors.affiliation: Division of Maternal-Fetal Medicine, Baystate Medical Center, Tufts University School of Medicine, 789 Chestnut Street, Springfield, MA 01199, USA. cnjpope@worldnet.att.net
authors.forename: C S
authors.initials: CS
authors.lastname: Pope
authors.forename: G R
authors.initials: GR
authors.lastname: Markenson
authors.forename: L A
authors.initials: LA
authors.lastname: Bayer-Zwirello
authors.forename: G S
authors.initials: GS
authors.lastname: Maissel
mesh_terms: D000328:Adult; D020211:Autonomic Dysreflexia / Q000628:therapy*; D001805:Blood Transfusion, Intrauterine; D002908:Chronic Disease; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D018743:Perinatal Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome; D011295:Prenatal Care; D013119:Spinal Cord Injuries / Q000628:therapy*; D013904:Thoracic Vertebrae