The impacts of the disease on the course of pregnancy and
childbirth
Constipation and dysuria, and gait disturbance are possible impacts of
the disease on the course of pregnancy and childbirth. These symptoms
may be impaired by physical and physiological changes in pregnancy
(uterine enlargement, maternal weight gain, decrease in intestinal
peristalsis due to endocrinological changes). In this case, she had
constipation trouble during pregnant period, while there was no
impairment before pregnancy. Neurogenic bladder is commonly observed in
HAM/TSP, results in increased UTI rates. It can induce preterm birth, we
should diagnose it earlier with a physical exam and microscopic exam of
urine. In this case, she had been treated for UTI twice before the first
pregnancy, we thought that she was more likely to get a UTI during
pregnancy and postpartum period than before pregnancy. Conversely, She
did not have a UTI and she gave birth in term during her three courses
of pregnancy and childbirth.