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Paraplegic and delivery



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Sep 21, 2009 09:47 PM

Paraplegic and delivery


I had a patient last week who was a paraplegic, paralyzed from t8-t9 down and on mag for preterm labor. when the physician performed a cervical exam she was extremely sensitive to it...Couple questions arose!! How can she feel the cervical exam and how is she going to deliver vaginally (the doctor was talking like it was very possible.) can you delivery without pushing? Thanks!


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7 Comments
No. 1
from jamie4776
Old Sep 21, 2009, 10:04 PM

Default Re: Paraplegic and delivery
I saw a show on Discovery Health that had a woman in a similar state. The doctor had her just wait while the UC's did the work he then had her try pushing while he used the vacuum. The baby was born vaginally with no complications. It was an interesting show
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No. 2
Old Sep 22, 2009, 12:44 AM

Default Re: Paraplegic and delivery
Your patient is very lucky to have a smart doctor
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No. 3
from Elvish
Old Sep 24, 2009, 03:23 PM

Default Re: Paraplegic and delivery
There are documented stories of babies being born with no pushing on Mom's part, just letting the uterus do its work and baby comes on his own.
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No. 4
Old Sep 25, 2009, 06:03 AM

Default Re: Paraplegic and delivery
Yes, we had a paraplegic deliver vaginally. g3p2, both vaginal
She actually delivered in the bed without the doctor, kinda unexpected.
the worst part, i think, was that she had very, very, very stiff leg muscles and it took 3 people to cath her. one to hold each leg out and one to cath. if you frog-legged her, they'd straighten out and lay down.
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No. 5
from Mommi007
Old Oct 01, 2009, 10:42 PM

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No. 6
from Mommi007
Old Oct 01, 2009, 10:46 PM

Default Re: Paraplegic and delivery
Here is also a link to a post I posted a few weeks ago..that may help:

http://allnurses.com/ob-gyn-nursing/...lp-423334.html
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No. 7
from babyktchr
Old Oct 03, 2009, 08:08 AM

Default Re: Paraplegic and delivery
Think about all of those women who deliver without pushing on a daily basis.......those great epidurals (just a hair from being a spinal) and the baby just kinda oozes out all by itself unbeknownst to the patient. Same goes for those patients that have labored down from a good epidural and only push once. I would think the disablity doesn't take away the ability to push, only the sensation to feel the push (just like women that are numb from spinal/great epidurals). I certainly think it can be done.
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