title: [Pregnancy in women with spinal cord injuries: State of knowledge].
abstract: OBJECTIVE
  Updating knowledge of health professionals about pregnant women with spinal cord injuries. Development of maternity hospitals to make them accessible to spinal cord injured pregnant women to improve their care in pre-, per- and post-partum.
  
  
  METHODS
  Cross-sectional declarative study based on a questionnaire distributed to health professionals in the maternity hospital of the University Hospital of Nantes and liberal midwives of Nantes conurbation, based on their knowledge, their difficulties and their expectations for obstetrical care for spinal cord injured women. An inventory was carried out in parallel at the maternity hospital of the University Hospital of Nantes.
  
  
  RESULTS
  Seventy-two percent of health professionals surveyed rated their level of knowledge on spinal cord injuries insufficient or even non-existent. Among the professionals, 84.8% said they encountered difficulties to take care of spinal cord injured women. The main cited difficulty relates to unsuitable equipment or premises, obstacle indeed found during the inventory made on the maternity hospital.
  
  
  CONCLUSIONS
  Several proposals are being considered, including specific trainings, the execution of a management protocol for spinal cord injured women, the establishment of a situation's form of handicap, the layout of the maternity hospitals premises, and finally, the creation of reference's centers in the region to optimize the follow-up of these patients.
authors.affiliation: École de sages-femmes de Nantes, hôpital Mère-Enfant, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France.
authors.forename: B
authors.initials: B
authors.lastname: Boisseau
authors.affiliation: Pôle de médecine physique et de réadaptation, hôpital Saint-Jacques, CHU de Nantes, 85, rue Saint-Jacques, 44093 Nantes cedex 1, France.
authors.forename: B
authors.initials: B
authors.lastname: Perrouin-Verbe
authors.affiliation: École de sages-femmes de Nantes, hôpital Mère-Enfant, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France.
authors.forename: N
authors.initials: N
authors.lastname: Le Guillanton
authors.affiliation: École de sages-femmes de Nantes, hôpital Mère-Enfant, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France.
authors.forename: I
authors.initials: I
authors.lastname: Derrendinger
authors.affiliation: Service de gynécologie-obstétrique, hôpital Mère-Enfant, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France.
authors.forename: A-S
authors.initials: AS
authors.lastname: Riteau
authors.affiliation: Département Mère-Enfant, institut mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Idiard-Chamois
authors.affiliation: Service de gynécologie-obstétrique, hôpital Mère-Enfant, CHU de Nantes, 38, boulevard Jean-Monnet, 44093 Nantes cedex 1, France. Electronic address: norbert.winer@chu-nantes.fr.
authors.forename: N
authors.initials: N
authors.lastname: Winer
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006771:Hospitals, Maternity / Q000706:statistics & numerical data*; D006801:Humans; D008880:Midwifery / Q000706:statistics & numerical data*; D009774:Obstetrics / Q000706:statistics & numerical data*; D010820:Physicians; D011247:Pregnancy; D011248:Pregnancy Complications; D013119:Spinal Cord Injuries
keywords: Accouchement; Childbirth; Grossesse; Handicap; Lésions médullaires; Paraplegia; Paraplégie; Pregnancy; Quadriplegia; Spinal cord injury; Tétraplégie