The spinal cord is located in the spinal canal of the human body. Injuries to the spinal cord at different locations can lead to motor disorders (e.g., inability to control the movement of limbs, etc.), sensory disorders (e.g., no sense of touch, pain, etc.), and autonomic dysfunction (e.g., inability to control bowel movements, urination, maintain normal body temperature, blood pressure, etc.) in the corresponding limbs. Assessment before conception The activity of the female reproductive system is regulated by the hypothalamic-pituitary-ovarian axis system, and SCI does not affect the work of this system. Therefore, women with SCI can still have normal menstrual cycles and have the ability to ovulate and fertilize eggs, and the process of natural conception is not significantly different from that of normal people. If the combination of other gynecological diseases prevents natural conception, artificial insemination and IVF techniques can also be used to assist conception. When considering whether to conceive, women with SCI should do a full comprehensive assessment, including chronic diseases, tolerance, and the ability to tolerate important organs such as lung function and kidney function. In the case of women with congenital or hereditary SCI, the possibility of SCI being passed on to the baby should be considered. Serious complications can occur during pregnancy Compared with normal people, SCI patients can encounter these problems during pregnancy 1. Urinary tract infection: Due to the inability to control urination, women with SCI have a significantly increased chance of genitourinary tract infection during pregnancy, so regular urine cultures and timely application of antibacterial drugs are recommended. 2, constipation: due to abnormal autonomic function, constipation is common in SCI women during pregnancy. It is recommended that pregnant women with SCI adopt a high-fiber diet and use stool-softening drugs if necessary. Decubitus ulcers: With the increase of pregnancy weeks, the weight of pregnant women increases, but pregnant women with SCI cannot move their limbs on their own, so they are prone to decubitus ulcers, and their escorts need to change their positions often and customize suitable wheelchairs and cushions. If bedsores occur, they should be treated promptly to prevent deterioration. 4. High or low body temperature: Due to spinal cord injury, normal sweating reflex and vascular tone reflex cannot be established, and pregnant women with SCI cannot adjust their body temperature according to the change of ambient temperature, so they often have high or low body temperature. 5. Impaired pulmonary function: Impaired pulmonary function is common in women with paraplegia, so it is important to monitor pulmonary function regularly. 6. Anemia: Anemia is common in pregnant women with SCI and should be supplemented with iron and folic acid. 7.Low blood pressure: Due to abnormal sympathetic regulation and long-term diastolic state of vascular smooth muscle, pregnant women with SCI are more likely to have upright hypotension. 8. Autonomic dysreflexia (ADR): This is the most serious complication of SCI pregnant women, which can even endanger the life of mother and fetus, and is more common. Due to the loss of brain regulation of spinal cord activity, a series of stimuli below the level of spinal cord injury can lead to ADR, including vaginal examination, contractions, urinary catheter replacement, the appearance of bed sores, hot and cold stimuli, sexual intercourse, etc. ADR can manifest as severe hypertension, spasms, pupil spreading, respiratory failure, syncope, convulsions, etc. During delivery, ADR can lead to uteroplacental vasoconstriction, fetal hypoxia, fetal bradycardia, etc., which should be treated promptly, otherwise it can lead to serious consequences such as cerebrovascular accident, renal hemorrhage or even death. Not all deliveries require a cesarean section. Pregnant women with SCI are at higher risk of preterm labor, they usually cannot feel contractions and are in labor, so regular monitoring of cervical length, transabdominal monitoring of intrauterine pressure, and early admission to the hospital for labor if necessary are recommended. Although it is highly unlikely that SCI women will experience pain during labor, epidural anesthesia is recommended at the onset of labor to prevent ADR. The team includes obstetricians, anesthesiologists, neurologists, urologists and nursing professionals to prevent and manage problems during labor. Not all pregnancies with SCI require a cesarean section, but the decision to deliver by this method should be made after a comprehensive assessment of the mother and fetus. The number of women with SCI who deliver by normal delivery, vaginal assisted delivery, and cesarean delivery is about 1/3 each. Postpartum assessment and contraception are required for women with SCI. Bladder distension and bowel conditions need to be assessed after delivery, and if constipation persists, artificially assisted defecation should be performed under anesthesia. Breastfeeding is encouraged, but breastfeeding is more difficult to achieve in women with paraplegia because of reduced milk volume, weak sensation of nipple stimulation, and inability to carry the newborn. The recommended contraception for women with SCI after delivery is a combination of short-acting oral contraceptives. However, in patients with acute SCI, smokers, and increased risk of thrombosis, the use of estrogen-containing contraceptives is not recommended, and progestin-only oral contraceptives or subcutaneous implants are available. It has been reported in the literature that due to the reduced spinal reflex stimulation threshold and increased reflex amplitude in women with SCI, it may be more difficult to place the IUD and determine its normal position, and IUDs are generally not used, i.e., IUDs.