{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T02:15:02Z","timestamp":1793153702688,"version":"4.5.0"},"reference-count":5,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Baclofen is a commonly used medication for spasticity in patients with an injury to the central nervous system. For some, intrathecal delivery of baclofen provides better treatment with fewer systemic side effects. Baclofen is a category C medication during pregnancy based on animal studies. This narrative review presents the three consecutive pregnancies of a woman with spastic quadriparesis due to cerebral palsy that was being treated with an intrathecal baclofen (ITB) pump. Her spasticity care occurred at a large academic institution. Her prenatal and perinatal care occurred at the adjacent county hospital. There is limited literature on the safety of the use of an ITB pump for the treatment of spasticity in pregnant women, and this patient presentation aims to describe the course for the mother and her infants as she received treatment for her spasticity with an ITB pump.<\/jats:p>","DOI":"10.1002\/ijgo.15988","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T11:03:00Z","timestamp":1730286180000},"page":"893-895","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Three consecutive pregnancies in a woman with spastic cerebral palsy being treated with intrathecal baclofen therapy"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9453-5641","authenticated-orcid":false,"given":"Kim D. D.","family":"Barker","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation UT Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Imran","family":"Murtuza","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation UT Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen V.","family":"Sloan","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"GhanavatianS DerianA.Baclofen.2022. StatPearls [Internet]. Accessed March 14 2024.https:\/\/www.ncbi.nlm.nih\/gov\/books\/NBK526037\/"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121211022197"},{"key":"e_1_2_8_4_1","unstructured":"Intrathecal Baclofen Pump for Severe Spasticity and Dystonia.2020. Accessed January 28 2023.https:\/\/patient.uwhealth.org\/healthfacts\/5333"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2009.07.010"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2008.07.001"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15988","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.15988","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15988","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:57:53Z","timestamp":1771315073000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.15988"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,30]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/ijgo.15988"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.15988","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,30]]},"assertion":[{"value":"2024-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}