Transverse myelitis is an acute inflammatory lesion of the
spinal cord resulting in motor, sensory, and autonomic dysfunction.
Pregnancy increases
risk of
complications depending on the level of the
spinal cord lesion. Hence, a multidisciplinary approach is needed during prenatal period. This is a case of IB, a 32 year-old primigravid, a known case of
Transverse Myelitis, initially seen at ten weeks age of
gestation. Prenatal
course was managed accordingly. She underwent primary
cesarean section for arrest
cervical dilatation at 39 weeks, with an unremarkable post-operative
course. There is an increased
risk of preventable
complications such as recurrent
urinary tract infections,
anemia, development of
decubitus ulcers,
premature labor and delivery and
autonomic dysreflexia. It is imperative that during the prenatal period, the
patient be monitored closely and referred to
specialists for further management of these simple to fatal
complications.