{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:20Z","timestamp":1787013860303,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,8,28]],"date-time":"2022-08-28T00:00:00Z","timestamp":1661644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The aim of this study was to describe the rate of pregnancy in spinal cord injured women in Sweden as well as pregnancy, delivery, and neonatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This study was based on data from the Swedish Medical Birth Register and the National Patient Register. The study population included women with spinal cord injury who gave birth in Sweden during the period 1997 to 2015. The general population was used as reference and included all non\u2010spinal cord injured patients who gave birth during the same period of time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the spinal cord injury group, 109 births were identified. Eighty\u2010nine (82%) of them were among paraplegic women and 20 (18%) were among tetraplegic women. Women with spinal cord injury in our study population had urinary tract infections during pregnancy in five cases (5%) and anemia during pregnancy in nine cases (8%), compared with 0.2% and 4%, respectively, in the general population. Compared with the general population more deliveries were induced in the study population, 18 (17%) in the spinal cord injury group and 12% in the general population. Vaginal delivery was achieved in 52 (48%) of the births with 42 of them (39%) being non\u2010instrumental and 10 (9%) being instrumental vaginal deliveries. Elective cesarean section rate was 34% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u200937). Sixteen infants (15%) were born preterm (gestational week &lt;37). We found an overall low rate of pregnancy and delivery complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results show predominantly favorable outcomes of pregnancy and delivery in women with spinal cord injury as well as their infants. These results are in concordance with previous research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.14440","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T02:39:17Z","timestamp":1661740757000},"page":"1282-1290","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997\u20132015: A population\u2010based cohort study"],"prefix":"10.1111","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3329-3941","authenticated-orcid":false,"given":"Molly","family":"Khalili","sequence":"first","affiliation":[{"name":"Department of Medical Sciences \u00d6rebro University  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Berlin","sequence":"additional","affiliation":[{"name":"National Board of Health and Welfare  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Pettersson","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology Karolinska Institute and Karolinska University Hospital Huddinge  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Lindgren","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences \u00d6rebro University  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claes","family":"Hultling","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institute  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Ek\u00e9us","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1310\/sci2301-20"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(15)31046-X"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2016.138"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2752-2"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2011.66"},{"key":"e_1_2_10_7_1","volume-title":"Essentials of Spinal Cord Injury: Basic Research to Clinical Practice","author":"Fehlings MG","year":"2012"},{"key":"e_1_2_10_8_1","unstructured":"World Health Organization.Spinal Cord Injury2013."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2224"},{"key":"e_1_2_10_10_1","first-page":"926","article-title":"Pregnancy and delivery in women with a traumatic spinal cord injury in Sweden, 1980\u20101991","volume":"81","author":"Westgren N","year":"1993","journal-title":"Obstet Gynecol"},{"key":"e_1_2_10_11_1","unstructured":"EkeusC Berlin M.H\u00e4lsa och f\u00f6rlossningar bland ryggm\u00e4rgsskadade 1997\u20102016The National Board of Health and Wellfare2018Available from:https:\/\/www.socialstyrelsen.se\/globalassets\/sharepoint\u2010dokument\/artikelkatalog\/statistik\/2018\u20104\u201025.pdf."},{"key":"e_1_2_10_12_1","unstructured":"The National Board of Health and Wellfare.The Swedish Medical Birth Register2021Available from:https:\/\/www.socialstyrelsen.se\/en\/statistics\u2010and\u2010data\/registers\/register\u2010information\/the\u2010swedish\u2010medical\u2010birth\u2010register\/."},{"key":"e_1_2_10_13_1","unstructured":"The National Board of Health and Wellfare.The National Patient Register2019Available from:https:\/\/www.socialstyrelsen.se\/en\/statistics\u2010and\u2010data\/registers\/register\u2010information\/the\u2010national\u2010patient\u2010register\/."},{"key":"e_1_2_10_14_1","unstructured":"Routine ultrasound assessment in pregnancy[Internet]:The Swedish council on health technology assessment;1998[cited 2021 Dec 13]. Available from:https:\/\/www.sbu.se\/contentassets\/06202646c04e49a78c7f9d0d0061f806\/fulltext_ultraljud.pdf."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0691.2003.00643.x"},{"key":"e_1_2_10_16_1","first-page":"403","article-title":"The Stockholm spinal cord Uro study: 1. Basic characteristics and problem inventory. 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