Pregnancy among mothers with spina bifida

Shepard, Courtney L.; Yan, Ping; Hollingsworth, John M.; Kraft, Kate H.

doi:10.1016/j.jpurol.2017.08.001

Cited by 22 publications

(8 citation statements)

References 15 publications

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“…20,23 Despite these recommendations, SB patients are still most often submitted to cesarean sections when compared with the general population. 23 In the present study, in spite of the low rates of contraception, only 4.3% had a history of pregnancy, and there were no major complications during deliveries, which were all cesarean sections. The clinical characteristics of SB and the sexual outcomes have been analyzed qualitatively and quantitatively.…”

Section: Discussionmentioning

confidence: 99%

Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function

Motta

Bujons

Madarriaga

et al. 2021

Rev Bras Ginecol Obstet

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Objective To assess the sexual function of women with spina bifida (SB), and to verify the factors that influence their sexual function. Methods A cross-sectional study in which a validated female-specific questionnaire was applied to 140 SB female patients from four different cities (Porto Alegre, Brazil; and Barcelona, Madrid, and Málaga, Spain) between 2019 and 2020. The questionnaires collected data on the clinical characteristics of SB, and female sexual function was assessed using the 6-item version of the Female Sexual Function Index (FSFI-6) validated to Portuguese and Spanish. Results Half of the patients had had sexual activity at least once in the life, but most (57.1%) did not use any contraception method. Sexual dysfunction was present in most (84.3%) patients, and all sexual function domains were impaired compared those of non-neurogenic women. The presence of urinary and fecal incontinence significantly affected the quality of their sexual activity based on the FSFI-6. Conclusion The specific clinical aspects of the SB patients, such as urinary and fecal incontinence, should be properly addressed by their doctors, since they are associated with reduced sexual activity and lower FSFI-6 scores in the overall or specific domains. There is also a need to improve gynecological care among sexually-active SB patients, since most do not use any contraceptive methods and are at risk of inadvertent pregnancy.

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Section: Discussionmentioning

confidence: 99%

Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function

Motta

Bujons

Madarriaga

et al. 2021

Rev Bras Ginecol Obstet

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“…3 Using appropriate International Classification of Diseases, Ninth Revision (ICD-9), Clinical Modification diagnosis codes and Clinical Classification Software (CCS) groups (Supplementary Table 1), we identified all women admitted to an acute care hospital following an obstetric delivery between 2004 and 2013. Through a previously described algorithm, 2 we distinguished between admissions for women with and without SB. Women with SB were further categorized by severity of SB (SB occulta, SB without hydrocephalus, SB with hydrocephalus).…”

Section: Methodsmentioning

confidence: 99%

“…Despite the fact that the number of women with SB giving birth has increased by 56% over the last 10 years, 2 there are a paucity of studies on peripartum outcomes. Reports are limited to a few small case series, the largest of which describes 69 deliveries in 38 women with SB.…”

Section: Introductionmentioning

confidence: 99%

Complications of Delivery Among Mothers With Spina Bifida

Shepard

Yan

Kielb

et al. 2019

Urology

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“…Medication use during pregnancy is common, with up to 90% of pregnant women in developed countries taking at least one prescription or over‐the‐counter (OTC) medication (Daw, Hanley, Greyson, & Morgan, 2011; Honein, Gilboa, & Broussard, 2014; Mitchell et al, 2011; Stanley, Durham, Sterrett, & Wallace, 2019). Women with congenital physical disabilities, like spina bifida and cerebral palsy, frequently report sequelae such as chronic pain, depression, and genitourinary infections, which are often treated medications (Ehde et al, 2003; Shepard, Yan, Hollingsworth, & Kraft, 2018; Vega et al, 2019). Medication during pregnancy can be critical in maintaining the mother's health, but may lead to certain pregnancy complications.…”

Section: Introductionmentioning

confidence: 99%

Medication use during pregnancy among women with congenital physical disabilities

García

Petersen

Parker

et al. 2022

Birth Defects Research

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Background Medication use during pregnancy is common, with up to 90% of pregnant women taking at least one medication. Women with congenital physical disabilities often report co‐occurring conditions during pregnancy that may warrant pharmaceutical treatment, however, research is limited. We aim to describe medication use during pregnancy including: pain, psychotropic, and antibacterial medication, among women with and without congenital physical disabilities. Methods We used data from the Slone Birth Defects Study (1976–2015), a case–control study that collected information on pre‐pregnancy health conditions and exposures among participating mothers. Women with congenital physical disabilities (n = 132) included women with spina bifida, cerebral palsy, muscular dystrophy, limb deficiencies, and other skeletal/connective tissue conditions and were matched by interview year and study site to women without congenital physical disabilities (n = 528). Proportions and difference in proportions for each medication were compared between groups. Simple proportions were also calculated for duration and multiple medication use variables. Results Women with congenital physical disabilities more frequently reported use of pain (acetaminophen and opioids), psychotropic (antidepressants), and antibacterial medications during pregnancy. Women with congenital physical disabilities used pain and psychotropic medications for longer, frequent durations, and more frequently reported haven taken multiple medications during pregnancy. Conclusion Women with congenital physical disabilities report higher medication use during pregnancy compared to women without physical disabilities. Patterns may be attributable to co‐occurring conditions or increased risk of pregnancy complications in this population. Further research is needed to describe the patterns of medication use for clinical decisions regarding treatment of pregnant women with disabilities.

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Pregnancy among mothers with spina bifida

Abstract: With increasing rates of deliveries and young age at delivery for women with SB, it is imperative that pediatric and transitional urologists initiate discussions on sexual and reproductive health beginning in adolescence.

Cited by 22 publications

References 15 publications

Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function

Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function

Complications of Delivery Among Mothers With Spina Bifida

Medication use during pregnancy among women with congenital physical disabilities

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