From the Research
Women with a slipped disc can generally have a vaginal delivery, but individual assessment by healthcare providers is crucial to determine the best delivery method. When considering the delivery method for women with a slipped disc, it's essential to weigh the risks and benefits of vaginal delivery versus cesarean section.
- A study published in 2020 1 found that the preferred delivery mode for pregnant patients with lumbar disc herniation was a Cesarean section, which was performed in 6 out of 10 cases, to avoid worsening symptoms and progression to the cauda equina syndrome.
- However, this study also noted that no patients developed cauda equina syndrome during or after the Cesarean section, highlighting the importance of careful consideration of the delivery method.
- Other studies, such as those focused on postpartum pain management 2, 3, 4, provide valuable insights into the management of pain after delivery but do not directly address the question of slipped disc and vaginal delivery.
- A study from 2008 5 compared ibuprofen and acetaminophen for relief of perineal pain after childbirth, but its findings are not directly relevant to the decision of vaginal delivery in women with a slipped disc.
- The most recent and highest-quality study relevant to this question is the 2020 study 1, which suggests that a Cesarean section may be preferred for women with a slipped disc to avoid complications.
- Based on the available evidence, a Cesarean section may be recommended for women with a slipped disc, especially if there are concerns about worsening symptoms or progression to cauda equina syndrome. It's crucial for women with a slipped disc to discuss their individual situation with their obstetrician and possibly a spine specialist to create an individualized birth plan that prioritizes their safety and well-being.