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Approaches to Delivery in Pregnant Women with Lumbar Disc Herniation: An In-Depth Review of Management Strategies and a Case Report


Author: Svetoslav K. Todorov, Zlatko Kirovakov*
Published Date: 2024-03-06
Keywords: Pregnant Women, Low Back Pain, Lumbar Disc Herniation, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), Postpartum, Discectomy Procedure.
Abstract:
Low back pain is a prevalent symptom experienced by a significant proportion of pregnant women, impacting over 50% of this population. Nevertheless, severe disc herniation is exceedingly uncommon and most patients experience recovery without the need for surgical intervention. The objective of this study is, to present a comprehensive analysis of conservative treatment approaches and delivery methods for pregnant individuals experiencing Lumbar Disc Herniation (LDH), excluding those with significant neurological impairments necessitating immediate surgical intervention. We conducted a study of the existing research using the PubMed database. This case report details the clinical progress of a pregnant woman who developed a lumbar hernia (L4-L5) at 34 weeks of gestation and exhibited symptoms of excruciating pain in the right lumbar region and lower limb. Until 36 weeks of pregnancy, the patient had conservative treatment with intravenous corticosteroids and non-steroidal anti-inflammatory drugs (NSAIDs). At that point, the patient spontaneously gave birth to a healthy baby who weighed 3.75 kilograms and measured 53 cm. The patient had a successful discectomy treatment to treat the herniated disc three months after giving birth, which resulted in a full recovery. The necessity of multidisciplinary care for pregnant women with lumbar hernias is highlighted in this example and conservative therapy followed by prompt surgical surgery might provide positive results.

Journal: ISAR Journal of Medical and Pharmaceutical Sciences
ISSN(Online): 2584-0150
Publisher: ISAR Publisher
Frequency: Monthly
Language: English

Approaches to Delivery in Pregnant Women with Lumbar Disc Herniation: An In-Depth Review of Management Strategies and a Case Report
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