Pregnancy and Scoliosis

Manning, Charles; Prime, F.J.; Zorab, P.A.

doi:10.1016/s0140-6736(67)92232-5

Cited by 14 publications

(10 citation statements)

References 7 publications

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“…This is higher than the nationwide average (P < 0.01) [7]. Our results are comparable with those of previous studies, which indicate that the cesarean section rate is elevated in women with severe deformities, especially in non-idiopathic scolioses [2,4,5,9,10,12]. The mixed materials of Dugan and Black [5] and Betz et al [2] showed lower cesarean section rates for patients with scoliosis than corresponding nationwide averages.…”

Section: Discussionsupporting

confidence: 80%

“…Visscher et al [13] reported prematurity in 12.5% of pregnancies, differing statistically significantly from the expected 7.8%, but concluded that the reproductive outcome of scoliotic women did not differ in other respects from that of non-scoliotic women [13]. Other studies either do not address prematurity and the health of the offspring [5,12] or are in harmony with our results [2,4,10]. Kopenhager [9] found that kyphoscoliotic patients (none had idiopathic scoliosis) tended to have low-birthweight infants [9].…”

Section: Pregnancysupporting

confidence: 74%

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Pregnancy and delivery in patients operated by the Harrington method for idiopathic scoliosis

Orvomaa¹,

Hiilesmaa

Poussa

et al. 1997

Eur Spine J

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The course and outcome of 142 pregnancies in 146 patients operated between 1970 and 1975 by the Harrington method for idiopathic scoliosis were studied to determine the effects of scoliosis on pregnancy and childbirth and the effects of pregnancy on the remaining fused and unfused scoliotic curvatures. Occurrence of and sick leave due to low back pain during pregnancy was determined. The patients, all originally treated at the Orthopedic Hospital of the Invalid Foundation (Orton) in Helsinki, Finland, were invited to a clinical and radiological re-examination on average 19 years following surgery. The results show that pregnancy does not significantly increase fused scoliotic curvatures nor the remaining unfused curvatures. A somewhat higher proportion of children (23%) were delivered by cesarean section than in the general population (15%; P < 0.01), but this result should only be taken as suggestive. Rates of complications of pregnancy and in labor did not differ from those in the background population. The offspring were healthy. Low back pain during pregnancy occurred in about 40% of our patients, but was severe enough to cause sick leave only in 11% of the pregnancies.

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Section: Discussionsupporting

confidence: 80%

Section: Pregnancysupporting

confidence: 74%

Pregnancy and delivery in patients operated by the Harrington method for idiopathic scoliosis

Orvomaa¹,

Hiilesmaa

Poussa

et al. 1997

Eur Spine J

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“…Although two large series have shown that pregnancy is usually well tolerated in patients with kyphoscoliosis, 8,9 significant morbidity and mortality have also been reported. 10 The preexisting limitation in ventilation can be exaggerated by pregnancy to the point of precipitating acute respiratory failure.…”

Section: Conclusion : L'utilisation D'analgésie éPidurale D'une Survmentioning

confidence: 99%

Anesthetic management of a ventilator-dependent parturient with the King-Denborough syndrome

Habib

Millar

DeBalli

et al. 2003

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : The King-Denborough syndrome (KDS) is a rare disorder that is associated with myopathy, susceptibility to malignant hyperthermia (MH) as well as congenital skeletal and facial anomalies. We report the anesthetic management of a parturient with KDS.C Cl li in ni ic ca al l f fe ea at tu ur re es s: : We describe the management of a 24-yr-old primiparous woman with a diagnosis of KDS and a history of previous MH reaction (age two). Her KDS resulted in chronic respiratory failure. She had a permanent tracheostomy and required overnight ventilatory support for the previous two years. She had three admissions during her pregnancy, one for pneumonia and two for preterm labour. Labour was induced at 37 weeks. Her labour was managed in the operating room where a "clean" anesthesia machine was ready. Cooling aids and a MH emergency kit were immediately available. Intravenous access, an arterial line and a lumbar epidural catheter were inserted before induction of labour.Ropivacaine 0.08% + fentanyl 2 µg·mL -1 were used for patientcontrolled epidural analgesia. After 6.5 hr of labour the patient required ventilation. An outlet forceps was performed for delivery. Postpartum, she was ventilated overnight in the intensive care unit.C Co on nc cl lu us si io on n: : The use of epidural analgesia, close monitoring and collaboration between the various disciplines were important in achieving a safe and uneventful labour in this high-risk parturient. King-Denborough (SKD) Objectif : Le syndrome de

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“…NIPPV was a safe, well-tolerated, and effective treatment of nocturnal hypoventilation precipitated by pregnancy in this patient with kyphoscoliosis. Pregnancy is not contra-indicated in the majority of patients with kyphoscoliosis [5][6][7]. However, in patients who develop symptomatic nocturnal hypoventilation or respiratory failure during pregnancy, nocturnal intermittent positive pressure ventilation should be considered.…”

Section: Discussionmentioning

confidence: 99%

“…Nasal intermittent positive pressure ventilation (NIPPV) is an effective method of providing nocturnal ventilatory support in this group of patients [3,4]. Pregnancy is not uncommon in patients with kyphoscoliosis, and is usually well tolerated [5,6]. However, pregnancy may precipitate respiratory failure in patients with severe kyphoscoliosis [7].…”

mentioning

confidence: 99%

Nasal ventilation in pregnancy: treatment of nocturnal hypoventilation in a patient with kyphoscoliosis

Restrick¹,

Clapp²,

Mikelsons³

et al. 1997

Eur Respir J

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The management of a young woman with congenital kyphoscoliosis, who developed symptomatic nocturnal hypoventilation during the third trimester of pregnancy, is described.Nasal intermittent positive pressure ventilation (NIPPV) was safely and effectively used to correct nocturnal hypoxaemia and hypercapnia from the 30th-36th week of gestation, when a healthy boy was delivered by Caesarean section. Following delivery, the mother no longer required NIPPV and returned to her prepregnancy level of activity.

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Pregnancy and Scoliosis

Cited by 14 publications

References 7 publications

Pregnancy and delivery in patients operated by the Harrington method for idiopathic scoliosis

Pregnancy and delivery in patients operated by the Harrington method for idiopathic scoliosis

Anesthetic management of a ventilator-dependent parturient with the King-Denborough syndrome

Nasal ventilation in pregnancy: treatment of nocturnal hypoventilation in a patient with kyphoscoliosis

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