lumbar fusion and pregnancy

Hi,

I posted this question on another forum, but I did not receive any responses.  I had some questions about pregnancy and lumbar fusion.  I am 27 years old, and I recently underwent a lumbar fusion from L4-S1.  I also have two other herniated discs in my back, from L1-L3.  My neurosurgeon stated that I will be able to have a child, have a c-section, and an epidural, if an anesthelogist would agree to it.  My questions are, would I be able to have a natural childbirth, or would I have to have a c-section?  I'm afraid that I will end up needing to be totally under general for birth if it's a c-section.  My other question is should I find a high risk OB, or can I go with any OB?  I also have a history of urinary reflux, and have had bladder surgery.  I'm also looking into finding a back support brace.  I'm also afraid that if I do get pregnant, I will spend most of my pregnancy on bed rest.  My neurosurgeon stated I can start trying to conceive after 6 months from surgery, and we are looking to try in the fall.  I would like to start looking for a new OB if needed before we get pregnant.  Thanks very much for your input

[Keith Downing, MD]

Hello,

You should be able to be seen by a general ob/gyn and if they have concerns they can refer you to a high risk obstetrician.  I would defer to your neurosurgeon regarding whether you could be a candidate for a vaginal delivery.  Lastly, if and when you become pregnant you should have an early consult with anesthesia to discuss your analgesic/anesthetic options.  

I do recommend you meet with an ob/gyn to discuss all of the issues prior to making attempts to conceive.

Best regards,

Dr. Downing