Physical disabilities add challenge to pregnancy

Stuart SchlossmanAn MS Patients Story, Multiple Sclerosis

May 10, 2011

Her first pregnancy brought Dianna Fiore Radoslovich a break from the weakness and pain of her multiple sclerosis.
She put away her cane and her meds and gave birth to a healthy son.
Pregnancy No. 2 hasn’t brought the same reprieve. This time, Radoslovich juggles the cane with a toddler, a growing baby bump and a bit of anxiety.
“Every pregnancy’s different, and MS is different every day for everybody,” says Radoslovich, of New York City, who has been learning along with her obstetrician how to make adjustments.
Physical disabilities add a whole new challenge to pregnancy. And while the vast majority of women with disabling conditions appear to have healthy babies, specialists say far too little is known about moms’ risks of complications, their special needs and barriers to good care.
More than 1 million women of childbearing age have a physical disability _ meaning they report needing some sort of assistance with daily living because of such conditions as MS, rheumatoid arthritis, spinal cord injuries or cerebral palsy, says a recent report in the journal Obstetrics & Gynecology. Yet when the National Institutes of Health convened experts to examine the issue, they couldn’t even find a good estimate of how many of those women give birth each year.
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