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SPINAL CORD INJURED WOMEN'S CONCERNS: MENSTRUATION AND PREGNANCY

Spinal cord injury is a catastrophic occurrence which, while affecting relatively few people annually in the United States, markedly affects the lives of those who experience it. Data from the National Spinal Cord Injury Data Research Center reported by Young and Northup (1979) estimate the occurrence of traumatic spinal cord injured individuals in the United States to be about 150,000, with 7,000 to 8,000 new cases yearly requiring hospitalization and rehabilitation. They also report that 30 percent of spinal cord impairment is caused by disease, such as congenital anomalies, cancer, and neurological disorders. Impairment from all sources is about 1 1,000 cases annually. Fifty percent of spinal cord injuries occur between the ages of 15 and 25 years (Young, Northup, 1979). An area of particular concern to women is menstruation, since it is intimately connected to role expectations about becoming a mother. Wanting to be a mother is not the question, but rather the knowledge that motherhood is possible, and the role is attainable. Speroff, Glass, and Kase (1978) write that “the importance of monthly menstruation to a young girl cannot be overemphasized. Regular and visible menstrual bleeding.. .serves to reinforce the patient’s identification with the feminine gender role.” Ivey and Bardwick (1968) state “periodic functioning is central to the female physically as well as psychologically.” Menses is important to a woman; it reinforces her belief in herself