{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T18:08:52Z","timestamp":1793729332879,"version":"4.6.1"},"reference-count":14,"publisher":"S.C. JURNALUL PENTRU MEDICINA SI VIATA S.R.L","issue":"4","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMedLife"],"abstract":"<jats:p>Low back pain is a common complaint during pregnancy, affecting approximately half of pregnant women. However, true disc herniation is extremely rare, and the majority of patients heal without surgery. The purpose of this study was to provide an overview of conservative management strategies and delivery modes for pregnant patients suffering from lumbar disc herniation without severe neurologic deficits that would require emergency surgery. We performed a narrative review of the literature using the PubMed database. Thirty-one articles were originally retrieved, out of which 7 met the inclusion criteria, compiling a total of 10 cases of parturient patients with lumbar disc hernia treated conservatively until childbirth. The preferred delivery mode was a Cesarean section, which was performed in 6 out of 10 cases. Two patients developed the cauda equina syndrome, one during a failed induction and the other patient 4 weeks after vacuum extraction. However, the second patient failed to improve after surgery. No patients developed cauda equina syndrome during or after the Cesarean section. Based on limited data, the Cesarean section seems to be preferred compared to vaginal delivery to avoid worsening symptoms and progression to the cauda equina syndrome.<\/jats:p>","DOI":"10.25122\/jml-2020-0166","type":"journal-article","created":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T08:32:05Z","timestamp":1668760325000},"page":"517-522","source":"Crossref","is-referenced-by-count":10,"title":["Methods of Delivery in Pregnant Women with Lumbar Disc Herniation: A Narrative Review of General Management and Case Report"],"prefix":"10.25122","volume":"13","author":[{"given":"Francesca","family":"Gabriela Paslaru","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Neurosurgical Department, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrei","family":"Giovani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Neurosurgical Department, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Iancu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Obstetrics and Gynecology Department, Clinical Hospital of Obstetrics and Gynecology Filantropia, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anca","family":"Panaitescu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Obstetrics and Gynecology Department, Clinical Hospital of Obstetrics and Gynecology Filantropia, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Anca Panaitescu, Clinical Hospital of Obstetrics and Gynecology Filantropia 11 Ion Mihalache,Bucharest, Romania. E-mail: panaitescu.anca@yahoo.com","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gheorghe","family":"Peltecu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Obstetrics and Gynecology Department, Clinical Hospital of Obstetrics and Gynecology Filantropia, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radu","family":"Mircea Gorgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Neurosurgical Department, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"\u201cCarol Davila\u201d University of Medicine and Pharmacy, Bucharest, Romania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10755","published-online":{"date-parts":[[2020,10]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"1. 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Wang, \"Magnetic Resonance Imaging of the Lumbar Herniated Disc in Pregnancy,\" American Journal of Physical Medicine & Rehabilitation, vol. 74, pp. 59-61, 1995.","DOI":"10.1097\/00002060-199501000-00010"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"6. J. Timothy, R. Anthony, A. Tyagi, D. Porter and P. van Hille, \"A Case of Delayed Diagnosis of the Cauda Equina Syndrome in Pregnancy,\" Australian and New Zealand Journal of Obstetrics and Gynaecology, vol. 39, no. 2, pp. 260-261, 1999.","DOI":"10.1111\/j.1479-828X.1999.tb03389.x"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"7. A. Al-areibi, L. Coveney, S. Singh and S. Katsiris, \"Case report: Anesthetic management for sequential Cesarean delivery and laminectomy,\" Canadian Journal of Anesthesia, vol. 54, no. 6, pp. 471-474, 2007.","DOI":"10.1007\/BF03022034"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"8. C. Stephen Jones, S. Patel, W. Griffith-Jones and O. Stokes, \"Presentation of cauda equina syndrome during labour,\" The British Medical Journal, 2015.","DOI":"10.1136\/bcr-2015-212119"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"9. H. Ochi, R. Ohno, M. Kubota, R. Hanyu and K. Sakai, \"Case report: The operation for the lumbar disk herniation just aftercesarean delivery in the third trimester of pregnancy,\" International Journal of Surgery Case Reports, vol. 5, pp. 1178-1182, 2014.","DOI":"10.1016\/j.ijscr.2014.10.055"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"10. T. Connolly, D. Nadav and S. Gungor, \"Ultrasound-guided caudal epidural steroid injection for successful treatment of radiculopathy during pregnancy,\" Pain Management, vol. 10, no. 2, pp. 67-71, 2020.","DOI":"10.2217\/pmt-2019-0044"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"11. I.-H. Han, \"Pregnancy and spinal problems,\" Current Opinion in Obstetrics and Gynecology, vol. 22, pp. 477-481, 2010.","DOI":"10.1097\/GCO.0b013e3283404ea1"},{"key":"ref12","unstructured":"12. T. Vlachova, J. Kocourkova and T. Fait, \"Advance maternal age - risk factor for low birhtweight,\" Ceska Gynekol , vol. 83, no. 5, pp. 337-340, 2018."},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"13. P. Kristiansson , K. Swardsudd and B. von Schoultz, \"Serum relaxin, symphyseal pain, and back pain during pregnanct,\" American Journal of Obstethrics and Gynecology, vol. 175, no. 5, pp. 1342-1347, 1996.","DOI":"10.1016\/S0002-9378(96)70052-2"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"14. J. P. De Wilde, A. W. Rivers and D. L. Price , \"A review of the current use of magnetic resonance imaging in pregnanct and safety implication for the fetus,\" Progress in Biophysics & Molecular Biology, vol. 87, pp. 335-353, 2005.","DOI":"10.1016\/j.pbiomolbio.2004.08.010"}],"container-title":["Journal of Medicine and Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-13-517.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T08:32:19Z","timestamp":1668760339000},"score":1,"resource":{"primary":{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-13-517.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["JMedLife-13-517"],"URL":"https:\/\/doi.org\/10.25122\/jml-2020-0166","relation":{},"ISSN":["1844-122X","1844-3117"],"issn-type":[{"value":"1844-122X","type":"print"},{"value":"1844-3117","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}