Does the curve of scoliosis get worse during and after pregnancy?
My husband and I are trying to get pregnant. I do have mild to moderate scoliosis and just recently have seen my neck begin to curve. Has anyone been pregnant with scoliosis and seen their curve get worse?
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February 5th, 2011 at 1:53 am
I have scoliosis and have had 2 children 14 months apart. Women with scoliosis are able to become pregnant and have children with no increased risk for complications. You may be at increased risk for additional low back pain during pregnancy.
If you think your curve isn’t stable, then open a conversation with your spine doctor, OB/GYN, or both to make sure everything is okay to proceed. Specialists some times are so focused on their specialties, they forget about your other health systems until you bring them up.
Once you get the ok and get pregnant, here are some thoughts:
While you may have more back aches than most people, I found it to be tolerable. Pregnancy #1, I worked full time as a nurse until 1 mo. before delivering. Pregnancy #2, I was chasing my younger baby around (just 14 mo. apart). Both pregnancies, my back never slowed me down.
If you are in pain, treat it. Talk with the OB about taking Tylenol (almost all allow it) and heat vs. cold therapy (most will so ok to warm showers or baths, but NO hot tubs, and will ok cold packs to the back). These worked for me.
Thinking ahead to labor & delivery: Depending on how far down your spine is affected and what degree of curvature it is, you may not be able to have a spinal (spinal is better for scoliosis and fusion than epidural). Anything below T12 is tricky, and you want someone with expertise in OB anesthesia. If you have been fused below T12 it may be impossible.
Now that you’re getting to your due date get a referral to consult with the anesthesia group who covers where you’ll be having the baby. Take a letter from your spine doc detailing what her last spine x-ray showed. You may need to request a group discussion with an orthopedist, obstetrician, and the anesthesiologists. Sometimes specialists forget that there are other parts of your body. They will be able to determine whether to do it naturally or c-section based on the severity of your curves.
I’m fused to T12 and didn’t want anyone touching my spine. I did it naturally, and requested general if I had to have an emergency C-section. First labor, 3 hrs. No back labor, no problems pushing. Second labor, 1 hr. Had back labor (but so can a non-scoliosis mom), but no problem pushing.
January 9th, 2012 at 11:35 pm
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