{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:33:06Z","timestamp":1786365186487,"version":"build-2736575974"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spinal Cord"],"DOI":"10.1038\/s41393-026-01251-9","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:13:49Z","timestamp":1786364029000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Women\u2019s experiences of contraception, fertility and pregnancy after spinal cord injury: a Turkish perspective"],"prefix":"10.1038","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6439-8818","authenticated-orcid":false,"given":"Merve","family":"\u00d6r\u00fcc\u00fc Atar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1513-3469","authenticated-orcid":false,"given":"\u0130ncilay","family":"\u00c7elik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5692-6326","authenticated-orcid":false,"given":"Zinnur \u015eeyda","family":"Bing\u00f6l","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0914-0638","authenticated-orcid":false,"given":"Fatma","family":"\u00d6zcan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9553-2621","authenticated-orcid":false,"given":"G\u00fcl\u015fah","family":"K\u00f6k","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1173-9399","authenticated-orcid":false,"given":"Bilge","family":"Y\u0131lmaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"1251_CR1","unstructured":"Bickenbach J, Bodine C, Brown D, Burns A, Campbell R, Cardenas D et al. (eds). International perspectives on spinal cord injury. Geneva: WHO, ISCOS; 2013."},{"key":"1251_CR2","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1310\/sci2301-20","volume":"23","author":"F Courtois","year":"2017","unstructured":"Courtois F, Alexander M, McLain ABJ. Women\u2019s sexual health and reproductive function after SCI. Top Spinal Cord Inj Rehabil. 2017;23:20\u201330.","journal-title":"Top Spinal Cord Inj Rehabil"},{"key":"1251_CR3","first-page":"161","volume":"8","author":"H Goller","year":"1970","unstructured":"Goller H, Paeslack V. Our experiences about pregnancy and delivery of the paraplegic woman. Paraplegia. 1970;8:161\u20136.","journal-title":"Paraplegia"},{"key":"1251_CR4","doi-asserted-by":"publisher","first-page":"1420","DOI":"10.1016\/S0003-9993(99)90253-8","volume":"80","author":"AB Jackson","year":"1999","unstructured":"Jackson AB, Wadley V. A multicenter study of women\u2019s self-reported reproductive health after spinal cord injury. Arch Phys Med Rehabil. 1999;80:1420\u20138.","journal-title":"Arch Phys Med Rehabil"},{"key":"1251_CR5","first-page":"192","volume":"30","author":"SW Charlifue","year":"1992","unstructured":"Charlifue SW, Gerhart KA, Menter RR, Whiteneck GG, Manley MS. Sexual issues of women with spinal cord injuries. Paraplegia. 1992;30:192\u20139.","journal-title":"Paraplegia"},{"key":"1251_CR6","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1097\/JPN.0b013e31829ca83f","volume":"27","author":"BD Camune","year":"2013","unstructured":"Camune BD. Challenges in the management of the pregnant woman with spinal cord injury. J Perinat Neonatal Nurs. 2013;27:225\u201331.","journal-title":"J Perinat Neonatal Nurs"},{"key":"1251_CR7","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1177\/1753495X211011918","volume":"15","author":"K Robertson","year":"2022","unstructured":"Robertson K, Ashworth F. Spinal cord injury and pregnancy. Obstet Med. 2022;15:99\u2013103.","journal-title":"Obstet Med"},{"key":"1251_CR8","doi-asserted-by":"publisher","first-page":"102673","DOI":"10.1016\/j.jogc.2024.102673","volume":"46","author":"C Mazzia","year":"2024","unstructured":"Mazzia C, Kosa SD, Harris A, Waddington A, Berndl A. Contraception used by people assigned female at birth with spinal cord injury. J Obstet Gynaecol Can. 2024;46:102673.","journal-title":"J Obstet Gynaecol Can"},{"key":"1251_CR9","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1002\/pmrj.12122","volume":"11","author":"DA Crane","year":"2019","unstructured":"Crane DA, Doody DR, Schiff MA, Mueller BA. Pregnancy outcomes in women with spinal cord injuries: a population-based study. PM R : J injury, function, rehabilitation. 2019;11:795\u2013806.","journal-title":"PM R : J injury, function, rehabilitation"},{"key":"1251_CR10","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1038\/sc.2010.51","volume":"49","author":"M Kreuter","year":"2011","unstructured":"Kreuter M, Taft C, Siosteen A, Biering-Sorensen F. Women\u2019s sexual functioning and sex life after spinal cord injury. Spinal Cord. 2011;49:154\u201360.","journal-title":"Spinal Cord"},{"key":"1251_CR11","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1080\/01443615.2019.1581738","volume":"39","author":"S Ertekin Pinar","year":"2019","unstructured":"Ertekin Pinar S, Demirel G, Yildirim G, Daglar G. Sexual experiences and quality of life in Turkish women using methods of contraception. J Obstet Gynaecol. 2019;39:782\u20137.","journal-title":"J Obstet Gynaecol"},{"key":"1251_CR12","doi-asserted-by":"publisher","first-page":"1084","DOI":"10.1038\/s41393-018-0188-6","volume":"56","author":"H Thrussell","year":"2018","unstructured":"Thrussell H, Coggrave M, Graham A, Gall A, Donald M, Kulshrestha R, et al. Women\u2019s experiences of sexuality after spinal cord injury: a UK perspective. Spinal Cord. 2018;56:1084\u201394.","journal-title":"Spinal Cord"},{"key":"1251_CR13","doi-asserted-by":"crossref","unstructured":"Personal experiences of pregnancy and fertility in individuals with spinal cord injury. Sex Disabil 2014;32:65\u201374.","DOI":"10.1007\/s11195-013-9319-3"},{"key":"1251_CR14","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.5152\/tftrd.2014.30164","volume":"60","author":"NY \u00c7ivici","year":"2014","unstructured":"\u00c7ivici NY, Y\u0131lmaz B, G\u00fczelk\u00fc\u00e7\u00fck \u00dc, G\u00f6ktepe AS, Tan AK. Spinal kord yaralanmal\u0131 kad\u0131n hastalarda seks\u00fcel fonksiyonlar. Turk J Phys Med Rehab. 2014;60:S1\u2013S10.","journal-title":"Turk J Phys Med Rehab"},{"key":"1251_CR15","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1038\/sc.2013.161","volume":"52","author":"EC Celik","year":"2014","unstructured":"Celik EC, Akman Y, Kose P, Arioglu P, Karatas M, Erhan B. Sexual problems of women with spinal cord injury in Turkey. Spinal Cord. 2014;52:313\u20135.","journal-title":"Spinal Cord"},{"key":"1251_CR16","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1038\/s41393-026-01212-2","volume":"64","author":"F Kumbara","year":"2026","unstructured":"Kumbara F, Turan A, Ozisler Z, Yalcin E. Evaluation of sexual function and associated clinical factors in women with spinal cord injury: a cross-sectional controlled study. Spinal Cord. 2026;64:530\u20136.","journal-title":"Spinal Cord"},{"key":"1251_CR17","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1016\/j.pmr.2024.08.001","volume":"36","author":"S Moturu","year":"2025","unstructured":"Moturu S, Adkins EL, Delgado-Lebron JM, Castillo Diaz CM. Empowering women\u2019s health after spinal cord injuries: a timely and practical update. Phys Med Rehabil Clin N Am. 2025;36:125\u201337.","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"1251_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.46292\/sci23-00081","volume":"30","author":"LM Hall","year":"2024","unstructured":"Hall LM, Nnoromele CC, Lalla AT, Hentschel CB, Slocum C. Considerations for contraception following spinal cord injury: a systematic review. Top Spinal Cord Inj Rehabil. 2024;30:1\u20138.","journal-title":"Top Spinal Cord Inj Rehabil"},{"key":"1251_CR19","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1080\/10790268.2010.11689709","volume":"33","author":"Consortium for Spinal Cord M.","year":"2010","unstructured":"Consortium for Spinal Cord M. Sexuality and reproductive health in adults with spinal cord injury: a clinical practice guideline for health-care professionals. J Spinal Cord Med. 2010;33:281\u2013336.","journal-title":"J Spinal Cord Med"},{"key":"1251_CR20","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1097\/AOG.0b013e31829d8074","volume":"122","author":"A Dude","year":"2013","unstructured":"Dude A, Neustadt A, Martins S, Gilliam M. Use of withdrawal and unintended pregnancy among females 15-24 years of age. Obstet Gynecol. 2013;122:595\u2013600.","journal-title":"Obstet Gynecol"},{"key":"1251_CR21","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1363\/psrh.12130","volume":"52","author":"W Horner-Johnson","year":"2020","unstructured":"Horner-Johnson W, Dissanayake M, Wu JP, Caughey AB, Darney BG. Pregnancy intendedness by maternal disability status and type in the United States. Perspect Sex Reprod Health. 2020;52:31\u201338.","journal-title":"Perspect Sex Reprod Health"},{"key":"1251_CR22","doi-asserted-by":"publisher","first-page":"1282","DOI":"10.1111\/aogs.14440","volume":"101","author":"M Khalili","year":"2022","unstructured":"Khalili M, Berlin M, Pettersson K, Lindgren C, Hultling C, Ekeus C. Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997-2015: a population-based cohort study. Acta Obstet Gynecol Scand. 2022;101:1282\u201390.","journal-title":"Acta Obstet Gynecol Scand"},{"key":"1251_CR23","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2752-2","volume":"20","author":"K Robertson","year":"2020","unstructured":"Robertson K, Dawood R, Ashworth F. Vaginal delivery is safely achieved in pregnancies complicated by spinal cord injury: a retrospective 25-year observational study of pregnancy outcomes in a national spinal injuries centre. BMC Pregnancy Childbirth. 2020;20:56.","journal-title":"BMC Pregnancy Childbirth"},{"key":"1251_CR24","unstructured":"Caesarean-section rate in OECD countries. 2026. https:\/\/www.oecd.org\/en\/data\/indicators\/caesarean-sections. Access date: March 18, 2026."},{"key":"1251_CR25","first-page":"245","volume":"31","author":"\u00d6 \u00d6zmen","year":"2016","unstructured":"\u00d6zmen \u00d6, Arslan Z, Ekinci M, T\u00f6r \u0130, Kara D, Karakaya M. Our management of anesthesia in elective and emergency cesarean surgery: a retrospective evaluation of the last ten years Elektif ve acil sezaryen ameliyatlar\u0131nda anestezi y\u00f6netimimiz: Son on y\u0131l\u0131n retrospektif de\u011ferlendirilmesi. Medeni Med J. 2016;31:245\u20139.","journal-title":"Medeni Med J"},{"key":"1251_CR26","first-page":"389","volume":"9","author":"\u00c7 Baytar","year":"2025","unstructured":"Baytar \u00c7, Baytar MS, Ko\u00e7 Z, Okyay RD, Pi\u015fkin \u00d6, Ayo\u011flu H. Anesthetic experiences in cesarean surgery: a retrospective study. Med J West Black Sea. 2025;9:389\u201394.","journal-title":"Med J West Black Sea"},{"key":"1251_CR27","doi-asserted-by":"crossref","unstructured":"Obstetric management of patients with spinal cord injuries: ACOG committee opinion, number 808. Obstet Gynecol 2020;135:e230-e236.","DOI":"10.1097\/AOG.0000000000003842"}],"container-title":["Spinal Cord"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41393-026-01251-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41393-026-01251-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41393-026-01251-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:13:51Z","timestamp":1786364031000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41393-026-01251-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":27,"alternative-id":["1251"],"URL":"https:\/\/doi.org\/10.1038\/s41393-026-01251-9","relation":{},"ISSN":["1362-4393","1476-5624"],"issn-type":[{"value":"1362-4393","type":"print"},{"value":"1476-5624","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]},"assertion":[{"value":"6 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 July 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 August 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 August 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Ethics"}},{"value":"This study was approved by the Institutional Review Board of Gaziler Physical Medicine and Rehabilitation Scientific Research Ethics Committee (E-34215015).","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Ethics"}}]}}