Pregnancy, delivery and perinatal outcome in female survivors of polio

Veiby, Gyri; Daltveit, Anne Kjersti; Gilhus, Nils Erik

doi:10.1016/j.jns.2007.02.019

Cited by 10 publications

(9 citation statements)

References 32 publications

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“…0.001, OR 5 2.7, CI 5 2.4-3.1). 15 Having kyphoscoliosis can also alter the anatomy of the bony pelvis, and in return affect the passage of the fetus and the mode of delivery. Whether the reason of the kyphoscoliosis was idiopathic (majority), poliomyelitis, or traumatic injury, the cesarean section rate was higher, as reported by Chopra et al 16 Our study suggested that macrosomia is an effect modifier to the age cesarean delivery relationship.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Pelvic Size on Cesarean Delivery Rates: Using Adolescent Maternal Age as an Unbiased Proxy for Pelvic Size

Malabarey

Balayla

Abenhaim

2012

Journal of Pediatric and Adolescent Gynecology

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Section: Discussionmentioning

confidence: 99%

The Effect of Pelvic Size on Cesarean Delivery Rates: Using Adolescent Maternal Age as an Unbiased Proxy for Pelvic Size

Malabarey

Balayla

Abenhaim

2012

Journal of Pediatric and Adolescent Gynecology

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“…Under the assumption that the two individuals share a mother–child relationship, the location of the infant indicates delivery took place, but the estimated age at death suggests the individual was stillborn or died shortly after birth. Because delivery complications are common among women with polio, especially with regard to birthing obstructions (Veiby et al ., ), it is possible that difficulties associated with delivery could have led to the death of both individuals.…”

Section: Discussionmentioning

confidence: 99%

“…However, female survivors of polio do have a significantly greater risk for birth complications in general. Common issues include pre‐eclampsia, gestational proteinuria, renal disease, vaginal bleeding, urinary tract infections, and delivery complications arising from obstruction of the birthing process (Veiby et al ., ).…”

Section: Differential Diagnosismentioning

confidence: 97%

Differential Diagnosis of Limb Length Discrepancy in a 19th Century Burial from Southwest Mississippi

Thompson

2012

Intl J of Osteoarchaeology

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This paper reports on a 19th century skeleton from southwest Mississippi that displays shortening of several right side bones. Most notable is a 50-mm discrepancy in leg length involving the tibiae and fibulae. Osseous changes in the right foot suggest limited muscle function was present in this area. However, the shortened tibia and fibula show no signs of atrophy. After considering both osteological features and burial context, it is concluded that the individual was likely exposed to the poliovirus during childhood. While this diagnosis does not conform to the skeletal expectations of polio based on most paleopathological descriptions, the deformities observed fit within the range of what has been reported clinically. Based on this finding, it is suggested that polio should be considered as an etiological source of limb shortening even when signs of diffuse skeletal atrophy are lacking.

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“…8,9 Female survivors of polio have an elevated risk for pregnancy complications, operative delivery, and adverse perinatal outcomes. 10,11 Veiby et al 10 noted that pre-eclampsia was significantly more frequent in patients with poliomyelitis, irrespective of maternal age or parity.…”

Section: Discussionmentioning

confidence: 99%

Cesarean delivery under ultrasound-guided spinal anesthesia, in a parturient with poliomyelitis and Harrington instumentation

Costello

Balki

2008

Can J Anesth/J Can Anesth

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Purpose:To describe the anesthetic implications, and management of a medically complex parturient, who presented for Cesarean delivery (CD). The patient had poliomyelitis complicated with severe kyphoscoliosis, which had been treated with extensive spinal surgery. We used ultrasound guidance to facilitate successful spinal analgesia and anesthesia. Clinical features:A 27-yr-old woman, with a history of poliomyelitis and moderate restrictive lung disease secondary to kyphoscoliosis, presented at 38 weeks gestation for elective CD because of cephalopelvic disproportion. The woman had Harrington rods in situ from the level of the second thoracic vertebra, to the level of the fourth lumbar vertebra. Ultrasound guidance enabled one intervertebral space to be visualized (L5-S1), 3 cm from the expected spinal midline, and spinal anesthesia was performed at this interspace without any complications. A healthy infant was delivered, and the mother recovered uneventfully. Conclusions:Spinal anesthesia can be effectively performed in patients with poliomyelitis and severe kyphoscoliosis, that has been treated with extensive Harrington instrumentation. To facilitate regional techniques in such patients, bedside ultrasound may be greatly beneficial in identifying the correct spinal interspace.

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Pregnancy, delivery and perinatal outcome in female survivors of polio

Cited by 10 publications

References 32 publications

The Effect of Pelvic Size on Cesarean Delivery Rates: Using Adolescent Maternal Age as an Unbiased Proxy for Pelvic Size

The Effect of Pelvic Size on Cesarean Delivery Rates: Using Adolescent Maternal Age as an Unbiased Proxy for Pelvic Size

Differential Diagnosis of Limb Length Discrepancy in a 19th Century Burial from Southwest Mississippi

Cesarean delivery under ultrasound-guided spinal anesthesia, in a parturient with poliomyelitis and Harrington instumentation

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