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Obstetric management of a parturient with severe idiopathic scoliosis
  1. Patricia Ann Africa Factor and
  2. Ma Cristina Pelaez-Crisologo
  1. Obstetrics and Gynecology, University of the Philippines Manila College of Medicine, Manila, Philippines
  1. Correspondence to Dr Patricia Ann Africa Factor; pafactor{at}


Scoliosis complicates pregnancy due to increased operative deliveries, restrictive pulmonary disease and anaesthetic difficulties. This is a case of a primigravid with severe scoliosis who underwent primary caesarean section under spinal block with isobaric anaesthetic combined with intravenous sedation postdelivery of the baby. This case highlights the importance of a multidisciplinary approach in the management of parturient with severe scoliosis, from the preconception period until the postpartum stage.

  • Anaesthesia
  • Obstetrics and gynaecology
  • Orthopaedics

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  • Contributors PAAF personally handled the case and was responsible for writing the manuscript. MCP-C provided guidance and valuable inputs in editing the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.