Pregnancy in a spinal cord-injured bilateral total leg amputee: management and considerations.
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.
Ehrenberg
Hugh M
HM
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
Mercer
Brian M
BM
Catalano
Patrick
P
Fisgus
John R
JR
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