View source for SEXUALITY IN SCI-PREGNANCY & PARTURITION

===== [[Summary Article|'''SUMMARY''']] =====
1. SCI does not alter the likelihood of becoming pregnant.
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<br/>2. Medications: Vesicare, Baclofen and Botulinum toxin are Category B3 and should be avoided in pregnancy.
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<br/>3. Bladder issues: increased UTI, bladder spasms, more frequent CISC required or use IDC. 
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<br/>4. Bowel issues: constipation, changes in bowel habits, GORD and nausea. 
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<br/>5. Respiratory: decreased lung capacity and dyspnoea.
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<br/>6. Skin: risk of pressure areas due to increased weight and changes in centre of gravity.
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<br/>7. Spasticity: increased pain related to spasticity.
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<br/>8. Function: difficulty with ADLs, transfers, WC mobilization.
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<br/>9. Autonomic dysreflexia: usually in labour, differential: preeclampsia.
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<br/>10. Other issues: anaemia, fatigue, low BP.
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<br/>11. Parturition: may require assisted vaginal delivery or Caesarean section, recommend epidural anaesthesia instead of GA.


==Reference(s)==
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. [https://amzn.to/3SaP42r Get it on Amazon.]
<br/>Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. [https://amzn.to/417imTk Get it on Amazon.]
<br/>O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. [https://amzn.to/3Kc2MA2 Get it on Amazon.]

[[Category:Sexuality In SCI]]
[[Category:Rehabilitation]]