What can trigger Autonomic Dysreflexia during pregnancy and labor?
Autonomic Dysreflexia can be triggered in several ways, which include the following: • Vaginal/Cervical examinations • Uterine Contractions • Pain • Episiotomy • Insertion of a urinary catheter, manipulation of the catheter, or obstruction of the catheter • Bladder distention • Constipation, bowel obstruction, and other GI problems • Temperature changes below the level of the lesion such as hot or cold applied to the feet; placing feet in cold stirrups; use of a vaginal speculum. How is Autonomic Dysreflexia treated? Can ADR be prevented? Rapid recognition of symptoms is critical. Treatment should consist of removing the trigger, if possible. Rapid acting antihypertensive medications to lower blood pressure should be readily available. Constant and extensive monitoring to include blood pressure, heart rate and rhythm, and respiratory status. Continuous fetal monitoring is necessary. Regional anesthesia, such as epidural or spinal can be effective in treating ADR. Several steps can be t
