What does the nurse anticipate for a pregnant woman with scoliosis who has had surgical rods implanted in her spine?

For a pregnant woman with scoliosis who has had surgical rods implanted in her spine, the expectation of potential for greater than usual back pain is grounded in the anatomical and physiological changes that occur during pregnancy. As the pregnancy progresses, a woman's body undergoes significant changes, including weight gain, postural adjustments, and the alteration of center of gravity due to the developing fetus. For someone with existing spinal abnormalities like scoliosis, especially with hardware in place, these changes can exacerbate discomfort.

The presence of surgical rods may limit the spine's natural flexibility, which can amplify back pain as the body struggles to adapt. Additionally, the weight and shifting nature of the pregnancy can put additional strain on the back, particularly in areas that may already be compromised due to the scoliosis.

This understanding is vital for the management and support of the pregnant patient, allowing the healthcare team to anticipate and address pain management needs more effectively, as well as encouraging strategies for comfort during pregnancy. These considerations showcase the importance of a multidisciplinary approach in managing any complications associated with underlying conditions during pregnancy.