Pregnancy with previous history of Transverse Myelitis


Q: I had transverse myelitis 6 years ago but fortunately made a full recovery. I lost part use of my legs but am ok now, I sometimes have flare ups of burning and numbness in feet And extreme tiredness etc and suffer with chronic back pain every day although I work full time but with great difficulty sometimes. I am thinking of trying for a baby soon but worried if my body can handle pregnancy and are the symptoms likely to worsen or Return completely?Thanks Jo


A:   The most common complications that women with transverse myelitis may have during pregnancy are as follows: mobility problems which are dependent on your level of function. If mobility issues exist, such as balance problems or spasticity, they may become worse as the pregnancy advances. The growing fetus will change your center of gravity, which can create difficulty with balance. If difficulty ambulating develops, it may become necessary to depend on assistance from a walker or wheelchair in the second and/or third trimester of pregnancy. It is very important to prevent falls, which may cause injury to you or the baby. Keeping safety in mind, try to remain as active as possible during pregnancy. Physical therapy may be helpful, if you have mobility decreased. The other complications are: Deep venous thrombosis, Urinary tract infections, constipation, anemia and possibly preterm labor. The other potential life-threatening complication during the labor to be aware of is the Autonomic Dysreflexia (ADR), it results in rapid onset of hypertension (increased blood pressure), which varies in severity, and may also include bradycardia (low heart rate). ADR is caused by reflex signals of the spinal cord from below the affected lesion, traveling up the spinal cord uncontrolled. Epidural and spinal anesthesia is thought to be safe for women with Transverse Myelitis. An epidural or spinal can actually be very effective at preventing the onset of autonomic dysreflexia. It is recommended that when you get pregnant seek a consultation with an anesthesiologist before labor to discuss potential risks and concerns for care during labor. There is no evidence to suggest that an epidural increases the risk of flares of spinal cord inflammation.

Related Q&A

Q: Is it possible for me to be pregnant? Are these signs? Is it too early to tell? I had unprotected sex on 12/16/16, an...

Q: I had my period from 12- 18 and realised drops of blood from 18-25.had sex on 5-10 but he produced outside .i feel bl...

Q: Hello, I took the morning after pill (19th November) whilst I was at the end of my first period and within two weeks ...

Q: Hi I had unprotected sex on my ovulation day or at least around that time. But I still had my period thirteen days a...

Q: On the poor advice from someone at Planned Parenthood (who I think was a volunteer and not a professional), about a w...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon