{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T14:07:38Z","timestamp":1789222058327,"version":"build-2803163510"},"reference-count":9,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000049","name":"Ontario Neurotrauma Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Obstet Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate functional changes in patients with spinal cord injuries (SCIs) during and after pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This is part of an international observational questionnaire examining pregnancy outcomes of people with SCI. Parameters assessed included pain, fatigue and bladder function. Participants categorized functions as improved, no change, or worsened during pregnancy and based on longstanding differences following delivery. Descriptive analysis was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This analysis included 263 pregnancies beyond 20 weeks\u2019 gestation. Overall level and types of injuries, fatigue (66.7%), bladder function (65.9%), and edema (42.3%) were the most commonly reported aspects of functional health that worsened during pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Worsening fatigue and bladder function are the most common symptoms during pregnancy. Recovery is common in the post-partum period; however, nearly one-third of people experience longstanding changes. This study may provide guidance for pre-pregnancy consultation and inform expectations of pregnant people with SCI and their health care providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1753495x251415470","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T18:03:44Z","timestamp":1770141824000},"page":"174-178","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Functional changes in health during and after pregnancy in people with spinal cord injury\u2014an international cohort study"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1918-6565","authenticated-orcid":false,"given":"Claire","family":"Mazzia","sequence":"first","affiliation":[{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Daisy","family":"Kosa","sequence":"additional","affiliation":[{"name":"McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Harris","sequence":"additional","affiliation":[{"name":"Toronto Metropolitan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roopjit","family":"Sahi","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Berndl","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2016.1213554"},{"key":"e_1_3_3_3_2","unstructured":"Spinal Cord Injury Facts and Figures at a Glance Since 2015 [Internet]. 2015. Available from: www.msktc.org\/sci\/model-system-centers."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753495X211011918"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2017.06.012"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3540-z"},{"key":"e_1_3_3_7_2","first-page":"1","article-title":"Multidisciplinary team (MDT) approach to pelvic floor disorders","volume":"1","author":"Ferrari L","year":"2023","unstructured":"Ferrari L, Gala T, Igualada-Martinez P, et al. Multidisciplinary team (MDT) approach to pelvic floor disorders. Continence 2023; 1: 1\u20137.","journal-title":"Continence"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2022.893038"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2012.07.005"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-02023-2"}],"container-title":["Obstetric Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753495X251415470","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753495X251415470","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753495X251415470","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T13:47:33Z","timestamp":1789220853000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753495X251415470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,3]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/1753495X251415470"],"URL":"https:\/\/doi.org\/10.1177\/1753495x251415470","relation":{},"ISSN":["1753-495X","1753-4968"],"issn-type":[{"value":"1753-495X","type":"print"},{"value":"1753-4968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,3]]}}}