Pregnancy and Delivery in a Woman with Repaired Spina Bifida, Neurogenic Bladder, and Complex Psychosocial Vulnerabilities: A Case Report.

Background: Women living with spina bifida and significant physical disability face complex medical, psychosocial, and reproductive challenges. Evidence from low-resource settings is limited, especially where maternal–fetal medicine (MFM) and rehabilitation services are scarce. Case presentation: We report the case of a 27-year-old woman with repaired spina bifida, bilateral talipes, neurogenic bladder, and major limb amputation, with a background of profound psychosocial adversity. Despite advice for pregnancy termination due to anticipated maternal and fetal risks, she carried her pregnancy to term and delivered a live female infant weighing 2.3 kg by elective cesarean section. Antenatal care required a multidisciplinary approach with monitoring for urinary tract infections, renal function changes, and mobility limitations. Both mother and infant had favorable outcomes. Conclusions: This case highlights the need for individualized, multidisciplinary care for women with complex congenital and acquired disabilities, integrating obstetric, urologic, orthopedic, anesthetic, and psychosocial support. It underscores the importance of respecting reproductive autonomy in medically high-risk pregnancies.