Evidence map›Paper›PMID 27670808›Full record

Observational studySpinal cord2017

Pregnancy in spinal cord-injured women, a cohort study of 37 pregnancies in 25 women.

H Le Liepvre, A Dinh, B Idiard-Chamois, E Chartier-Kastler, V Phé, A Even, G Robain, P Denys

Open access · bronzeAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Spinal cord, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Factors affecting sexual health in individuals with spinal cord injury: A systematic scoping review.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Spinal cord injury and pregnancy.Obstetric medicine · 2022
    Review
  9. Article
  10. Article
  11. Medical indications for primary cesarean delivery in women with and without disabilities.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2020
    Article
  12. Article
  13. Observational
  14. Pregnancy Outcomes in Women with Spinal Cord Injuries: A Population-Based Study.PM & R : the journal of injury, function, and rehabilitation · 2019
    Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. Primary Cesarean Delivery Patterns among Women with Physical, Sensory, or Intellectual Disabilities.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

H Le LiepvrePMR Department, Hôpital Raymond Poincare, Paris Ile de France Ouest University, Garches, France.
A DinhInfectious Diseases Department, Hôpital Raymond Poincare, Paris Ile de France Ouest University, Garches, France.
B Idiard-ChamoisDepartment of Obstetrics, Institut Mutualiste Montsouris, Paris, France.
E Chartier-KastlerUrology Department, Hôpital Pitié Salpétrière, Pierre and Marie Curie University, Paris, France.
V PhéUrology Department, Hôpital Pitié Salpétrière, Pierre and Marie Curie University, Paris, France.
A EvenPMR Department, Hôpital Raymond Poincare, Paris Ile de France Ouest University, Garches, France.
G RobainPMR Department, Hôpital Rothschild, Pierre and Marie Curie University, Paris, France.
P DenysPMR Department, Hôpital Raymond Poincare, Paris Ile de France Ouest University, Garches, France.
Hôpital Raymond-Poincaré · FRSorbonne Université · FRHôpital Rothschild · FRInstitute Mutualiste Montsouris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective observational study.

objectiveTo describe specificities of pregnancy in a traumatic spinal cord-injured (SCI) population managed by a coordinated medical care team involving physical medicine and rehabilitation (PMR) physicians, urologists, infectious diseases' physicians, obstetricians and anaesthesiologists.

settingNeuroUrology Department in a University Hospital, France.

methodsAll consecutive SCI pregnant women managed between 2001 and 2014 were included. A preconceptional consultation was proposed whenever possible. Obstetrical and urological outcomes, delivery mode and complications were reported.

resultsOverall, thirty-seven pregnancies in 25 women, of a mean age of 32±4 years, were included. Thirty-five children were born alive (three miscarriages, a twin pregnancy) without complications except for a case of neonatal respiratory distress in premature twins born at 33 weeks. The mean birth weight was 2979±599 g. Twenty-one (57%) pregnancies benefited from preconceptional care. A weekly oral cyclic antibiotic programme was prescribed in 28 (75%) pregnancies. The main complications during pregnancy included pyelonephritis (30%), lower urinary tract infections (UTI) (32%), pressure sores (8.8%) and prematurity (12% deliveries before 37 weeks, with only one delivery before 36 weeks). Two patients suffered from autonomic dysreflexia, one with serious complication (brain haematoma). Caesarean sections were performed for 68% of deliveries (23/34) to prevent syringomyelia deterioration (n=10), stress urinary incontinence aggravation (n=3) or for obstetrical reasons (n=7).

conclusionsMothers' and infants' outcomes were satisfying after pregnancy in SCI women, but required many adjustments. Pregnancy must be prepared by a preconceptional consultation, and managed by a multidisciplinary team involving specialists of neurological disability and pregnancy.

Indexed as

AdultCohort StudiesFemaleFranceHumansInfant, Low Birth WeightInfant, NewbornPregnancyPregnancy ComplicationsPregnancy OutcomePremature BirthRetrospective StudiesSpinal Cord Injuries

Identifiers

PMID27670808
OpenAlexW2525746597

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.