Document Type

Poster

Publication Date

9-2009

Comments

PM&R Volume 1, Issue 9. S265.

Poster Presented at American Association of Physical Medicine and Rehabilitation Annual Assembly, Austin Texas.

Abstract

Objective: Describe the clinical course and treatment of a patient with paraplegia secondary to transverse myelitis during her pregnancy.

Setting: Acute Inpatient Rehabilitation Unit, University Hospital.

Participant: 36 year old Caucasian woman at 18 weeks gestation.

Interventions: Provided education and training on basic childcare tasks at a wheelchair level, and on how to obtain wheelchair accessible baby furniture. Provided availability of a peer who sustained a spinal cord injury prior to pregnancy. Maintained a close working relationship with maternal fetal health department regarding management of nausea and pain management, and educated team members about the possibility of autonomic dysfunction. Physical and occupational therapies geared toward spinal cord patients in addition in psychological counseling to address the anxiety related to evolving neurological status in setting of her first pregnancy.

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