Incidence of Postpartum Lumbosacral Spine and Lower Extremity Nerve Injuries

Wong, Cynthia A.; Scavone, Barbara M.; Dugan, Sheila A.; Smith, J. D.; Prather, Heidi; Ganchiff, J. N.; McCarthy, Robert J.

doi:10.1097/00006250-200302000-00014

Cited by 43 publications

(97 citation statements)

References 23 publications

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“…Macrosomia and malpresentations such as occiput posterior have been associated with the postpartum appearance of drop foot (12) . In addition, it has been reported that common peroneal nerve injury develops when the second stage of labor (13) is prolonged or after a long period of pushing down (14,15) .…”

Section: Discussionmentioning

confidence: 99%

Drop Foot: An Unexpected Complication of Vaginal Hysterectomy. A Case Report

Demircan¹,

Küçük²,

Yüksel³

et al. 2012

J Turk Soc Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

Drop Foot: An Unexpected Complication of Vaginal Hysterectomy. A Case Report

Demircan¹,

Küçük²,

Yüksel³

et al. 2012

J Turk Soc Obstet Gynecol

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“…It is also important to note that delivery itself can cause neurological damage resulting in pain and disability post-partum [159] . Additionally, there are concerns that repeated Valsalva manoeuvers for vaginal delivery may further compress the cauda equina in a patient with disc herniation and cause worsening of neurological deficit [41] .…”

Section: Use Of Neuraxial Anaesthesia For Pregnant Patients With Lbpmentioning

confidence: 99%

Low Back Pain in Pregnancy: Investigations, Management, and Role of Neuraxial Analgesia and Anaesthesia: A Systematic Review

Sehmbi

D’Souza

Bhatia

2017

Gynecol Obstet Invest

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Background: Low back pain (LBP) is commonly experienced during pregnancy and is often poorly managed. There is much ambiguity in diagnostic work-up, appropriate management and decision-making regarding the use of neuraxial analgesia and anaesthesia during labour and delivery in these patients. This systematic review summarises the evidence regarding investigations, management strategies and considerations around performing neuraxial blocks for pregnant women with LBP. Methods: We searched 3 databases and reviewed literature concerning LBP in pregnancy with regards to diagnostic modalities, management strategies and use of neuraxial techniques for facilitating labour and delivery. Results: In all, we included 78 studies in this review, with 32 studies concerning diagnostic investigations, 56 studies involving management strategies, and 4 studies regarding the use of neuraxial techniques for labour and delivery. Summary: MRI is the safest investigative modality for LBP in pregnancy. Antenatal educational programmes, exercise and steroid injections into the epidural space or sacroiliac joints may help with pain management. Worsening neurological deficits, vertebral fractures and tumours may need surgical management. There is limited evidence on challenges of performing neuraxial blocks in the peripartum period for analgesia and anaesthesia, but there is a potential for increased risk of neurological complications in parturients with pre-existing neurological deficits.

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“…122 Increased abdominal girth and lumbar lordosis are the predisposing factors for developing this neuropathy during pregnancy. 134 The lateral femoral cutaneous nerve may also be injured during thigh flexion for delivery and the pushing phases of labor. In women who undergo caesarian delivery, the lateral femoral cutaneous nerve may be injured by cutting, or pressure from a retractor.…”

Section: Acquired Compressive Nerve and Root Disorders During Pregnanmentioning

confidence: 99%

“…66 The femoral nerve may be compressed at the inguinal ligament during delivery by thigh flexion, external rotation, and abduction. 134 This mononeuropathy usually presents as painless weakness when the patient attempts to walk after delivery. If hip flexion is weak in addition to knee extension, the femoral nerve lesion is proximal to the inguinal ligament.…”

Section: Acquired Compressive Nerve and Root Disorders During Pregnanmentioning

confidence: 99%

Neuromuscular disorders in pregnancy

Sax

Rosenbaum

2006

Muscle and Nerve

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Many neuromuscular conditions occur more frequently during pregnancy and include carpal tunnel syndrome, Bell's palsy, lumbosacral radiculopathy, meralgia paresthetica, intercostal neuralgia, and other compression neuropathies. Preexisting or coincident neuromuscular diseases, including demyelinating polyneuropathies, inflammatory muscle disease, myasthenia gravis, and inherited nerve and muscle disease present specific problems during pregnancy. We review management of neuromuscular disorders during pregnancy, labor, delivery, and the early postpartum period.

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Incidence of Postpartum Lumbosacral Spine and Lower Extremity Nerve Injuries

Cited by 43 publications

References 23 publications

Drop Foot: An Unexpected Complication of Vaginal Hysterectomy. A Case Report

Drop Foot: An Unexpected Complication of Vaginal Hysterectomy. A Case Report

Low Back Pain in Pregnancy: Investigations, Management, and Role of Neuraxial Analgesia and Anaesthesia: A Systematic Review

Neuromuscular disorders in pregnancy

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