{
    "abstract": "Spinal cord injury (SCI) sustained during pregnancy may be dangerous to the mother and her child. The risk is associated both with necessary diagnostic work-up and with the therapeutic process (radiographic investigations, surgical procedures, anesthesia, spinal shock, SCI complications, delivery). However, infant care is an enormous challenge for a woman with motor disability. The authors present a case report concerning the problems of treatment, rehabilitation and infant care in an SCI woman. To our knowledge, it is the first paper to describe SCI at such an early stage of gestation (2.5 weeks of gestational age/WGA).\nA 20-year old paraplegic woman after SCI was pregnant. The period of diagnostics (MRI, X-ray), surgery and rehabilitation was associated with minor complications for the mother and no complications for the child. At discharge from the rehabilitation center the patient presented Th11 paraplegia (AIS-C), 24.5 WGA, and she could walk using a walker with a knee-ankle-foot-orthosis on the right and an ankle-foot-orthosis on the left lower limb. She delivered at 38 WGA via cesarean section (girl, birth weight 2960\u2005g, length 50\u2005cm, APGAR\u2005=\u20059 and 10). Bathing the baby and walking with it were the main problems of the post-delivery period.\nFactors potentially threatening the mother and child's health in SCI during pregnancy do not always contribute to the complications of the clinical status and health of the child. Comprehensive approach to the treatment, rehabilitation and care of pregnant women with SCI facilitates the course of pregnancy, delivery and child care.",
    "authors": [
        {
            "affiliation": "Department of Rehabilitation, Mazovian Rehabilitation Center STOCER, Konstancin-Jeziorna, Poland.",
            "firstname": "Krzysztof",
            "initials": "K",
            "lastname": "Wasiak"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.",
            "firstname": "Krzysztof",
            "initials": "K",
            "lastname": "Czajkowski"
        },
        {
            "affiliation": "Department of Rehabilitation, Medical University of Warsaw, Warsaw, Poland.\nDepartment of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.",
            "firstname": "Justyna",
            "initials": "J",
            "lastname": "Frasu\u0144ska"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1080/10790268.2021.1965336",
    "journal": "The journal of spinal cord medicine",
    "keywords": [
        "Child care",
        "Pregnancy",
        "Rehabilitation",
        "SCI complications",
        "Spinal cord injury"
    ],
    "methods": null,
    "publication_date": "2021-11-03",
    "pubmed_id": "34726586\n17161081\n10569436\n31743121\n30687569\n28509261\n28725486\n28808585\n24974672\n23247014\n27047862\n19571098\n14617457\n12859507\n11587420\n7566833\n2053009\n6877855\n7192952\n4673962\n5503307\n5561999\n3763239\n23899801\n7970856\n6877857\n26666509\n30556199\n27767945\n19263555\n25382883\n3403500\n17852230\n17502878\n15925481\n15556670\n8629929\n25721348\n18763171\n30729746\n10654366\n27670808\n3970101\n8497358",
    "results": null,
    "title": "Spinal cord injury during early pregnancy: Problems in the course of rehabilitation and infant care, a case report.",
    "xml": "<Element 'PubmedArticle' at 0x788504f2d3a0>"
}