Paraplegia has special concerns in pregnancy, childhood and older age. Each calls for a team approach.

Pregnancy

Women with paraplegia can become pregnant and have healthy babies, with planning and monitoring by an obstetrician and rehabilitation team
Common risks: urinary infections, pressure sores, blood clots, constipation, anaemia and reduced mobility
Autonomic dysreflexia may occur during labour in injuries at about T6 and above. This is an emergency and the team should plan for it.
Delivery is often vaginal. Caesarean section is used for obstetric reasons.
Review all medicines, including baclofen and blood thinners, before pregnancy

Children

Causes include injury, birth conditions such as spina bifida, infection and tumours
Growth can cause spine curvature (scoliosis) and hip problems, which need regular checks
Pressure sore and bladder care must be taught to the family and the child
School, play and friendships matter. Inclusive education and adapted sport help.

Older adults

Causes include falls with spinal stenosis, tumours and degenerative disease
Bone loss, heart disease, swallowing and chest problems and slow healing are more common
Falls and fractures are a larger risk, so equipment and home changes matter
Medicine side effects such as sleepiness with baclofen need review

Paraplegia in special cases (pregnancy, children, elderly)

Introductory Summary