Continuous epidural anesthesia may be necessary to prevent autonomic hyperreflexia during labor and delivery in women with spinal cord damage below Th11.
May inform anesthetic planning in spinal cord injury deliveries; single case leaves open need for prospective validation.
We report here a case involving the pregnancy, labor and delivery of a woman with a damaged spinal cord. In our case, even though the cord was damaged below the Th11, continuous epidural anesthesia was needed to prevent autonomic hyperreflexia. The patient's and infant's subsequent courses were normal.
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Yaginuma et al. (1995) studied this question.
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