Caesarean Section in Paraplegic Patient

You are the anaesthetist in the obstetric anaesthesia clinic in a tertiary hospital. You are asked to assess a 28-year-old woman with paraplegia in her first pregnancy. She is 34 weeks pregnant and is booked for an elective caesarean section at term. The referral states: Paraplegia following a horse riding accident aged 16 years IVF conception/pregnancy Medications Amitriptyline 50 mg daily Cranberry capsules Folic acid Iron supplements Baclofen – discontinued with pregnancy