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Peer-reviewedCC BYObstetric medicine

Fetal and neonatal outcomes in planned versus unplanned pregnancies in people with spina bifida.

4 affiliations
  1. 1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Toronto, Toronto, Canada.
  2. 2Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
  3. 3Department of Pediatrics, University of British Columbia, Vancouver, Canada.
  4. 4Department of Pediatrics, Boston Children's Hospital, Boston, USA.

Abstract

There is limited information on the impact of pregnancy planning on neonatal outcomes in people with spina bifida (SB). This study is a sub-group analysis of The Spina Bifida Reproductive Health and Pregnancy Study, an online international cross-sectional survey. Pregnancy, birth and neonatal data were assessed using descriptive and chi-squared analyses. A total of 209 pregnancies were included: 108 planned and 101 unplanned. The unplanned group included a greater risk of miscarriage/ectopic pregnancy (30%), unplanned fetal loss (34%), intrauterine growth restriction less than 5th percentile (16%) and babies with congenital anomalies. There was no statistically significant difference between unplanned and planned pregnancies in terms of admission to neonatal intensive care unit or risk of preterm birth. People with SB have rates of unplanned pregnancy similar to the general population. Unplanned pregnancies appear to have increased fetal and neonatal risks. Findings suggest that pregnancy planning is a modifiable factor, which may improve outcomes.

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BibTeX
@article{berndl2026fetal,
  title = {{Fetal and neonatal outcomes in planned versus unplanned pregnancies in people with spina bifida.}},
  author = {Anne Berndl and Georgia Condran and Julia Kfouri and Asia Van Buuren and Paige Church},
  journal = {Obstetric medicine},
  year = {2026},
  month = oct,
  doi = {10.1177/1753495x261490378},
  url = {https://europepmc.org/article/MED/42953224},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Fetal and neonatal outcomes in planned versus unplanned pregnancies in people with spina bifida.
AU  - Anne Berndl
AU  - Georgia Condran
AU  - Julia Kfouri
AU  - Asia Van Buuren
AU  - Paige Church
PY  - 2026
DA  - 2026/10/27
JO  - Obstetric medicine
DO  - 10.1177/1753495x261490378
UR  - https://europepmc.org/article/MED/42953224
AB  - There is limited information on the impact of pregnancy planning on neonatal outcomes in people with spina bifida (SB). This study is a sub-group analysis of The Spina Bifida Reproductive Health and Pregnancy Study, an online international cross-sectional survey. Pregnancy, birth and neonatal data were assessed using descriptive and chi-squared analyses. A total of 209 pregnancies were included: 108 planned and 101 unplanned. The unplanned group included a greater risk of miscarriage/ectopic pregnancy (30%), unplanned fetal loss (34%), intrauterine growth restriction less than 5th percentile (16%) and babies with congenital anomalies. There was no statistically significant difference between unplanned and planned pregnancies in terms of admission to neonatal intensive care unit or risk of preterm birth. People with SB have rates of unplanned pregnancy similar to the general population. Unplanned pregnancies appear to have increased fetal and neonatal risks. Findings suggest that pregnancy planning is a modifiable factor, which may improve outcomes.
SN  - 1753-495X
SN  - 1753-4968
ER  -