{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:54:38Z","timestamp":1790758478087,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,4,26]],"date-time":"2019-04-26T00:00:00Z","timestamp":1556236800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["#1R21HD073024\u201001A1"],"award-info":[{"award-number":["#1R21HD073024\u201001A1"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pregnant women with congenital or acquired spinal cord injury face challenges due to compromised neurologic function and mobility, factors that may also affect fetal\/infant health. Few studies have examined pregnancy course and longer\u2010term outcomes in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess pregnancy outcomes among women with spinal cord injury, paralysis, or spina bifida using population\u2010based data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Washington state linked birth\u2010hospital discharge records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All women (N\u2009=\u2009529) with spinal cord injury, paralysis, or spina bifida with singleton live birth deliveries 1987\u20102012, and a comparison group of women without disabilities (N\u2009=\u20095282).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Diagnosis codes were screened to identify cases and a 10:1 random sample of comparison women. Relative risks (RRs) and 95% confidence intervals (CIs) were calculated overall and separately for each condition using multivariable regression. Subsequent hospitalizations or death were identified via linkage to hospital discharge\/death records for 2 years after delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measurements<\/jats:title>\n                    <jats:p>Pregnancy course (weight gain, gestational diabetes, preeclampsia, infection, venous thromboembolism), delivery\/labor characteristics, infant characteristics (birthweight\/size, gestational age), and longer\u2010term outcomes (occurrence\/reasons for maternal\/infant rehospitalization, mortality).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Women with these spinal conditions had increased adjusted risks of prenatal urinary tract infection\/pyelonephritis (RR 26.43, 95% CI 13.97\u201049.99), venous thromboembolism (RR 9.16, 95% CI 2.17\u201038.60), preterm rupture of membranes (RR 2.15, 95% CI 1.18\u20103.90), and cesarean delivery (RR 1.88, 95% CI 1.70\u20102.09). They had longer hospitalizations and increased rehospitalization (RR 1.54, 95% CI 1.28\u20101.87), including for postpartum depression (RR 8.15, 4.29\u201015.48) or injury (RR 13.05, 95% CI 6.60\u201025.81). Their infants were more often small for gestational age (RR 1.65, 95% CI 1.33\u20102.06), but had no increased risk of rehospitalization or death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We observed no increased long\u2010term morbidity among infants of women with these conditions. Possible increased maternal morbidities during the first postpartum years indicate areas for intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.12122","type":"journal-article","created":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T21:40:35Z","timestamp":1549489235000},"page":"795-806","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Pregnancy Outcomes in Women with Spinal Cord Injuries: A Population\u2010Based Study"],"prefix":"10.1002","volume":"11","author":[{"given":"Deborah A.","family":"Crane","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Doody","sequence":"additional","affiliation":[{"name":"Public Health Sciences Division Fred Hutchinson Cancer Research Center  Seattle WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Schiff","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of Washington  Seattle WA"},{"name":"Department of Obstetrics &amp; Gynecology University of Washington  Seattle WA"},{"name":"Department of Internal Medicine, Division of Epidemiology, Biostatistics &amp; Preventive Medicine University of New Mexico School of Medicine  Albuquerque NM (current)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth A.","family":"Mueller","sequence":"additional","affiliation":[{"name":"Public Health Sciences Division Fred Hutchinson Cancer Research Center  Seattle WA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,26]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Spinal Cord Injury Facts and Figures at a Glance","author":"National Spinal Cord Injury Statistical Center","year":"2016"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2012.04.003"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.c.30057"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/109065799316572"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2015.88"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90253-8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2005.11753803"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2007.304"},{"issue":"9","key":"e_1_2_7_10_1","first-page":"743","article-title":"Pregnancy outcome and complications in women with spina bifida","volume":"45","author":"Arata M","year":"2000","journal-title":"J Reprod Med"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2015.205"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2016.138"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3171\/2015.2.PEDS1515"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116933"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2013.3098"},{"issue":"11","key":"e_1_2_7_16_1","first-page":"747","article-title":"National estimates and race\/ethnic\u2010specific variation of selected birth defects in the United States, 1999\u20102001. 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