Document Detail


Spinal Cord Stimulation in Pregnancy: A Literature Review.
MedLine Citation:
PMID:  22494315     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective:  Currently, the use of spinal cord stimulation (SCS) therapy is not recommended in pregnancy because the effects of SCS on the pregnancy and developing fetus are unknown. However, many SCS recipients are women of childbearing age who may later become pregnant. The purpose of the present report is to review and summarize the existing literature on the use of SCS therapy during the prenatal period. Methods:  We first present the case of a 38-year-old woman from our center who became pregnant after receiving an SCS implantation. We then provide a synopsis of previous reports that were identified in a literature search. We highlight the key findings from these cases as they relate to the course of pregnancy, fetal development, labor and delivery management, fertility, and technical complications. Results:  In our literature review, we identified 12 cases of pregnancy in 8 women. To these we add the present case. Conclusions:  Women of childbearing age who are candidates for SCS implantation should be tested for pregnancy prior to implantation surgery. They also should be informed about the limited state of our scientific knowledge regarding the impact of this technology on reproductive health. For patients already implanted with SCS, decisions about ongoing use in the event of pregnancy should be made on an individual basis after a careful consideration of potential risks and benefits.
Authors:
Ingrid C Fedoroff; Ekin Blackwell; Louise Malysh; William N McDonald; Michael Boyd
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-11
Journal Detail:
Title:  Neuromodulation : journal of the International Neuromodulation Society     Volume:  -     ISSN:  1525-1403     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9804159     Medline TA:  Neuromodulation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 International Neuromodulation Society.
Affiliation:
Chronic Pain Centre, St. Paul's Hospital, Vancouver, BC, Canada Department of Neurosurgery, Vancouver General Hospital, Vancouver, BC, Canada.
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