R - SEXUAL HEALTH & RELATIONSHIPS
Outline the steps that can be taken to ensure the best medical outcomes for the pregnant woman with SCI. Recommend that a multi-disciplinary team (including general practioner, physiatrist, OB-GYN, physiotherapist, occupational therapist, nurse) with SCI expertise be involved throughout the pregnancy. (Adapted from CSCM, p.326; Level B)
Provide advance training (i.e., shoulder exercise program to support transfers during pregnancy), frequent monitoring of wheelchair seating, transfer technique and status of daily activities to ensure safety during pregnancy. (Adapted from CSCM 2010, p.326; Level C)
Closely monitor autonomic dysreflexia and its complications during pregnancy, labour, delivery, and breastfeeding. (Adapted from CSCM 2010, p.327; Level C)