title: Pregnancy in a spinal cord-injured bilateral total leg amputee: management and considerations.
abstract: 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.
authors.affiliation: Department of Reproductive Biology and Obstetrics and Gynecology, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH 44109, USA. hehrenberg@metrohealth.org
authors.forename: Hugh M
authors.initials: HM
authors.lastname: Ehrenberg
authors.forename: Brian M
authors.initials: BM
authors.lastname: Mercer
authors.forename: Patrick
authors.initials: P
authors.lastname: Catalano
authors.forename: John R
authors.initials: JR
authors.lastname: Fisgus
mesh_terms: D000038:Abscess / Q000150:complications / Q000601:surgery; D000328:Adult; D000674:Amputees; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007681:Kidney Papillary Necrosis / Q000150:complications / Q000382:microbiology; D007746:Labor Presentation; D007866:Leg; D008161:Lumbosacral Region; D007752:Obstetric Labor, Premature / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications; D011251:Pregnancy Complications, Infectious; D012871:Skin Diseases / Q000150:complications / Q000601:surgery; D013119:Spinal Cord Injuries / Q000150:complications