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.