Preconception consultation helps a coordinated team plan around individual SCI-related needs. Planning can bring together obstetric and SCI-related expertise.
Pregnancy adds considerations involving bladder, bowel, skin, mobility, fatigue, and other complications. Urinary infections and changes in continence may require particular attention.
An epidural may help manage pain and reduce autonomic dysreflexia risk; suitability needs assessment. Previous spinal surgery can make placement more difficult.
Postpartum support may address wound healing, breastfeeding, positioning, and ongoing care. Breastfeeding challenges vary with injury level and available positioning support.
