I have undergone two surgeries on the lumbar spine at L4-5 and S1, but they have still been unsuccessful. Is it possible for me to become pregnant?
Dear Dr.
Lai,
Hello! Thank you for your hard work.
I am the patient who previously visited your clinic; I had a failed lumbar spine surgery in Nantou Caotun, followed by another unsuccessful surgery in Taichung Zhongshan.
Additionally, I underwent a minor surgery for carpal tunnel syndrome on my left hand, which unfortunately resulted in an infection, leaving my left hand unable to function normally.
You also performed X-rays, nerve conduction studies, and an MRI for me, and assisted in sending the necessary materials to the Taipei Review Committee for health insurance evaluation.
After the various examinations, it was determined that my nerves are still being compressed, and you recommended that I undergo another surgery.
Initially, after discussing with my family, I intended to schedule an appointment with you to discuss the surgical options.
However, I unexpectedly discovered that I might be pregnant (I have not yet seen an obstetrician for confirmation).
I would like to ask you, if I am indeed pregnant, will it pose any danger to my current health condition? Given my advanced age, if I do not give birth this time, I will not have another opportunity; this is my fiancé and my only hope.
However, if being pregnant now would be too much for my body to handle, I would like to know if there are any alternatives to consider besides terminating the pregnancy.
I understand that I will eventually need to undergo the lumbar spine surgery, and I have placed my hopes for recovery in your hands (I am feeling quite despondent and have developed symptoms of depression).
However, this unexpected news at such a critical time has left me feeling anxious and fearful.
Firstly, can my body handle this? Secondly, I had surgery just last December, and I was hospitalized for cellulitis this year.
Would becoming pregnant in such a short time frame have any impact on the embryo?
Thank you, Dr.
Lai, for taking the time to address my concerns and for your continued support.
I truly appreciate it!
Chen Xiao Rou, 30~39 year old female. Ask Date: 2018/07/22
Dr. Lai Zhaokang reply Neurosurgery
Hello: Sorry for the late reply, I've been busy.
1.
Is my body able to handle this? I suggest you first consult with an obstetrician-gynecologist to confirm the presence of the embryo.
If it is confirmed, I recommend you: "Be strong as a mother." First, take care of your lumbar spine.
You've had issues with your lumbar spine for a while, so just bear with it for now! Prepare well for pregnancy.
After all, as you mentioned, this is the only hope for you and your fiancé.
2.
Regarding the embryo issue, I still recommend discussing it with your obstetrician-gynecologist.
Wishing you all the best.
// Neurosurgeon Dr.
Lai Chao-Kang
Reply Date: 2018/07/22
More Info
Pregnancy after multiple failed spine surgeries presents a complex situation that requires careful consideration of both maternal and fetal health. Given your history of spinal surgeries and current pregnancy concerns, it is essential to address several key points regarding the risks and implications of your condition.
Firstly, your physical health is paramount. After undergoing multiple surgeries, especially those involving the spine, your body may be in a weakened state. The stress of pregnancy can exacerbate existing conditions, particularly if you are experiencing chronic pain or neurological issues due to nerve compression. It is crucial to consult with both your orthopedic or neurosurgeon and an obstetrician to evaluate your overall health and the potential risks associated with carrying a pregnancy to term. They can provide a comprehensive assessment of your spine's condition and how it may be affected by the physical changes that occur during pregnancy.
Secondly, the timing of your pregnancy is significant. If you recently underwent surgery and are now pregnant, your body may still be in recovery mode. The hormonal changes during pregnancy can affect healing and may influence any ongoing issues related to your spine. Additionally, if you have experienced infections or complications from previous surgeries, these factors could pose risks to both you and the developing fetus. It is essential to monitor your health closely and report any concerning symptoms to your healthcare providers.
Regarding the potential impact on the embryo or fetus, the early stages of pregnancy are critical for development. If your pregnancy is confirmed, it is vital to ensure that you are receiving appropriate prenatal care. This includes regular ultrasounds and screenings to monitor fetal development and assess any potential risks. While some medications used for pain management or other conditions may not be safe during pregnancy, your healthcare team can help you find suitable alternatives that minimize risks to your baby.
Moreover, the emotional aspect of this situation cannot be overlooked. The stress and anxiety associated with your medical history and the prospect of pregnancy can be overwhelming. It is important to seek support, whether through counseling, support groups, or discussions with your partner and family. Mental health is a crucial component of overall well-being, especially during pregnancy.
In terms of your options moving forward, if your pregnancy poses significant risks to your health or the fetus, you may need to discuss all possible alternatives with your healthcare team. This could include considering the timing of any necessary surgeries, the possibility of non-surgical interventions, or even the option of termination if that aligns with your values and circumstances. It is essential to have open and honest discussions with your doctors about your fears and hopes, as they can provide guidance tailored to your unique situation.
In conclusion, while pregnancy after multiple spine surgeries can be fraught with challenges, it is not insurmountable. With the right medical support and a comprehensive care plan, you can navigate this journey while prioritizing your health and the health of your baby. Always remember that you are not alone in this process, and there are resources available to help you through each step.
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