Paralysed with Fear a Literature Review on Aspects of Pregnancy in Polio Survivors
Asian Journal of Pregnancy and Childbirth,
Page 99-105
Abstract
After several decades of stability, female polio survivors often experience new signs and symptoms of their condition, characterized by global and muscular fatigue, decreased muscular strength and pain along with secondary changes in body anatomy and physiology with respect to pregnancy. Problems of ante-partum care and delivery of women who have been victims of poliomyelitis are fortunately rarely encountered. These women have a higher occurrence of pre-eclampsia, gestational proteinuria, renal disease prior to pregnancy, vaginal bleeding and urinary tract infection during pregnancy. Deliveries complicated by obstruction of the birth process are more common in the polio group, and cesarean section is performed at a higher rate throughout the time period. The prognosis of the disease when it occurs during pregnancy may be less predictable, but it is generally good for both mother and infant. Although the incidence of abortion is relatively high, if the pregnancy goes to term parturition is expected to be normal. An amalgamation of good antenatal assessment & care, psychological counselling and support groups have been found to be successful in providing them with the best possible outcome. This paper reviews what is currently known about disabled survivors of polio and highlights areas of need in public health research, policy and programming along with the effects of post-polio syndrome on pregnancy and possible interventions to achieve symptomatic relief & aid in better quality of life.
Keywords:
- Polio
- pregnancy
- post-polio syndrome
- disability
- rehabilitation
How to Cite
References
Eileen R Chasens, Mary G Umlaut. Post-polio syndrome. The American Journal of Nursing. 2000;100(12):60-67.
Anne Kjersti Daltveit, Nils Erik Gilhus. Pregnancy, delivery, and perinatal outcome in female survivors of polio, by Gyri Veiby 1; 2007.
DOI: 10.1016/j.jns.2007.02.019
Tarasoff LA. Experiences of women with physical disabilities during the perinatal period: a review of the literature and recommendations to improve care. Health Care for Women International. 2015;36(1):88–107.
Neilson JP, Lavender T, Quenby S, Wray S. Obstructed labour : Reducing maternal death and disability during pregnancy. British Medical Bulletin. 2003;67(1):191–204.
Bodian D. Poliomyelitis: Neuropathologic observations in relation to motor symptoms J Am Med Assoc. 1947;134:1148–1154.
Gawne AC, Halstead LS. Post-polio syndrome. Pathophysiology and Clinical Management Critical Rev Phys Rehabil Med. 1995 7;147–188.
Trojan DA, Cashman NR. Post-poliomyelitis syndrome. Muscle and Nerve. 2005;31(1):6-19.
Howard RS. Poliomyelitis and the postpolio syndrome. BMJ: British Medical Journal. 2005;330(7503):1314.
Pregnancy following poliomyelitis by E. Daw G. Chandler, Postgraduate Medical Journal. 1976;52:492-496.
Jane Schaefer, Edward Shaw. Poliomyelitis in pregnancy; Califmed. 1949;70:16-18.
Nora Ellen Groce, Lena Morgon Banks, Michael Ashley Stein. Surviving polio in a post-polio world. Social Science and Medicine. 2014;107:171-178.
Yelnik I Laffont. The psychological aspects of polio survivors through their life experience. Annals of Physical and Rehabilitation Medicine. 2010;53:60–67.
Adegoke BO, Oni AA, Gbiri CA, Akosile CO. Paralytic poliomyelitis: Quality of life of adolescent survivors Hong Kong Physiotherapy Journal. 2012;30(20):93-98.
Baschat AA, Weiner CP. Chronic neurological diseases and disabling conditions in pregnancy. Lippincott Williams and Wilkins, Philadelphia. 2004;145-158.
Bruno RL, Cohen JM, Galski T, Frick N . The neuroanatomy of post-polio fatigue Arch Phys Med Rehabil. 1974;75:498–504.
Thierry J. The importance of preconception care for women with disabilities. Maternal and Child Health Journal. 2006;10(Suppl 1):S175-S176.
DOI:10.1007/s10995-006-0111-1
Blackford KA, Richardson H, Grieve S. Prenatal education for mothers with disabilities. Journal of Advanced Nursing. 2000;32:898-904.
Halder S. Rehabilitation of women with physical disabilities in India: a huge gap. The Australian Journal of Rehabilitation Counselling. 2008;14(01):1-15.
Ragonese P, Fierro B, Salemi G, Randisi G, Buffa D, D’Amelio M, et al. Prevalence and risk factors of post-polio syndrome in a cohort of polio survivors. J Neurochir Sci. 2005;236:31–5.
Aycock WL. The frequency of poliomyelitis in pregnancy, New Eng. J. Med. 1941;225:405.
Emmett T, Alant E. Women and disability: Exploring the interface of multiple disadvantage; Development Southern Africa. 2006;23(4):445-460.
Pinto PE, Sahu N. Working with people with disabilities: An Indian perspective. Center for International Rehabilitation Research Information and Exchange; 2001.
Signore C, Spong CY, Krotoski D, Shinowara NL, Blackwell SC. Pregnancy in women with physical disabilities. Obstetrics and gynaecology. 2011;1,4(117): 935–947.
Miller NF. Anterior poliomyelitis complicating pregnancy, J. Mich. Med. Soc. 1924;23:58-61.
Smeltzer SC. Pregnancy in women with disabilities. Journal of Obstetric, Gynecological, and Neonatal Nursing. 2007;36(1):88-96.
Gonzalez H, Olsson T, Borg K. Management of postpolio syndrome. The Lancet Neurology. 2010;9(6):634-642.
-
Abstract View: 1070 times
PDF Download: 239 times