Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997–2015: A population‐based cohort study
Abstract Introduction The aim of this study was to describe the rate of pregnancy in spinal cord injured women in Sweden as well as pregnancy, delivery, and neonatal outcomes. Material and Methods This study was based on data from the Swedish Medical Birth Register and the National Patient Register....
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-11-01
|
| Series: | Acta Obstetricia et Gynecologica Scandinavica |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/aogs.14440 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850115181704642560 |
|---|---|
| author | Molly Khalili Marie Berlin Karin Pettersson Carl Lindgren Claes Hultling Cecilia Ekéus |
| author_facet | Molly Khalili Marie Berlin Karin Pettersson Carl Lindgren Claes Hultling Cecilia Ekéus |
| author_sort | Molly Khalili |
| collection | DOAJ |
| description | Abstract Introduction The aim of this study was to describe the rate of pregnancy in spinal cord injured women in Sweden as well as pregnancy, delivery, and neonatal outcomes. Material and Methods This study was based on data from the Swedish Medical Birth Register and the National Patient Register. The study population included women with spinal cord injury who gave birth in Sweden during the period 1997 to 2015. The general population was used as reference and included all non‐spinal cord injured patients who gave birth during the same period of time. Results In the spinal cord injury group, 109 births were identified. Eighty‐nine (82%) of them were among paraplegic women and 20 (18%) were among tetraplegic women. Women with spinal cord injury in our study population had urinary tract infections during pregnancy in five cases (5%) and anemia during pregnancy in nine cases (8%), compared with 0.2% and 4%, respectively, in the general population. Compared with the general population more deliveries were induced in the study population, 18 (17%) in the spinal cord injury group and 12% in the general population. Vaginal delivery was achieved in 52 (48%) of the births with 42 of them (39%) being non‐instrumental and 10 (9%) being instrumental vaginal deliveries. Elective cesarean section rate was 34% (n = 37). Sixteen infants (15%) were born preterm (gestational week <37). We found an overall low rate of pregnancy and delivery complications. Conclusions Our results show predominantly favorable outcomes of pregnancy and delivery in women with spinal cord injury as well as their infants. These results are in concordance with previous research. |
| format | Article |
| id | doaj-art-10cec4da82cd4a6298aec548fdcbebfa |
| institution | OA Journals |
| issn | 0001-6349 1600-0412 |
| language | English |
| publishDate | 2022-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acta Obstetricia et Gynecologica Scandinavica |
| spelling | doaj-art-10cec4da82cd4a6298aec548fdcbebfa2025-08-20T02:36:39ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04122022-11-01101111282129010.1111/aogs.14440Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997–2015: A population‐based cohort studyMolly Khalili0Marie Berlin1Karin Pettersson2Carl Lindgren3Claes Hultling4Cecilia Ekéus5Department of Medical Sciences Örebro University Örebro SwedenNational Board of Health and Welfare Stockholm SwedenDivision of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology Karolinska Institute and Karolinska University Hospital Huddinge Stockholm SwedenDepartment of Medical Sciences Örebro University Örebro SwedenDepartment of Neurobiology, Care Sciences and Society Karolinska Institute Stockholm SwedenDepartment of Women's and Children's Health Uppsala University Uppsala SwedenAbstract Introduction The aim of this study was to describe the rate of pregnancy in spinal cord injured women in Sweden as well as pregnancy, delivery, and neonatal outcomes. Material and Methods This study was based on data from the Swedish Medical Birth Register and the National Patient Register. The study population included women with spinal cord injury who gave birth in Sweden during the period 1997 to 2015. The general population was used as reference and included all non‐spinal cord injured patients who gave birth during the same period of time. Results In the spinal cord injury group, 109 births were identified. Eighty‐nine (82%) of them were among paraplegic women and 20 (18%) were among tetraplegic women. Women with spinal cord injury in our study population had urinary tract infections during pregnancy in five cases (5%) and anemia during pregnancy in nine cases (8%), compared with 0.2% and 4%, respectively, in the general population. Compared with the general population more deliveries were induced in the study population, 18 (17%) in the spinal cord injury group and 12% in the general population. Vaginal delivery was achieved in 52 (48%) of the births with 42 of them (39%) being non‐instrumental and 10 (9%) being instrumental vaginal deliveries. Elective cesarean section rate was 34% (n = 37). Sixteen infants (15%) were born preterm (gestational week <37). We found an overall low rate of pregnancy and delivery complications. Conclusions Our results show predominantly favorable outcomes of pregnancy and delivery in women with spinal cord injury as well as their infants. These results are in concordance with previous research.https://doi.org/10.1111/aogs.14440deliveryinfertilityneonatal outcomespopulation‐basedpregnancyspinal cord injury |
| spellingShingle | Molly Khalili Marie Berlin Karin Pettersson Carl Lindgren Claes Hultling Cecilia Ekéus Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997–2015: A population‐based cohort study Acta Obstetricia et Gynecologica Scandinavica delivery infertility neonatal outcomes population‐based pregnancy spinal cord injury |
| title | Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997–2015: A population‐based cohort study |
| title_full | Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997–2015: A population‐based cohort study |
| title_fullStr | Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997–2015: A population‐based cohort study |
| title_full_unstemmed | Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997–2015: A population‐based cohort study |
| title_short | Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997–2015: A population‐based cohort study |
| title_sort | pregnancy delivery and neonatal outcomes among women with spinal cord injury in sweden 1997 2015 a population based cohort study |
| topic | delivery infertility neonatal outcomes population‐based pregnancy spinal cord injury |
| url | https://doi.org/10.1111/aogs.14440 |
| work_keys_str_mv | AT mollykhalili pregnancydeliveryandneonataloutcomesamongwomenwithspinalcordinjuryinsweden19972015apopulationbasedcohortstudy AT marieberlin pregnancydeliveryandneonataloutcomesamongwomenwithspinalcordinjuryinsweden19972015apopulationbasedcohortstudy AT karinpettersson pregnancydeliveryandneonataloutcomesamongwomenwithspinalcordinjuryinsweden19972015apopulationbasedcohortstudy AT carllindgren pregnancydeliveryandneonataloutcomesamongwomenwithspinalcordinjuryinsweden19972015apopulationbasedcohortstudy AT claeshultling pregnancydeliveryandneonataloutcomesamongwomenwithspinalcordinjuryinsweden19972015apopulationbasedcohortstudy AT ceciliaekeus pregnancydeliveryandneonataloutcomesamongwomenwithspinalcordinjuryinsweden19972015apopulationbasedcohortstudy |