In North America, women represent a third of the SCI population (Ackery et al. 2004). Approximately 3,000 American women of childbearing age are affected by SCI (Cross et al. 1992). The ability of women to have children is not usually affected by SCI once their menstrual cycle resumes (Jackson & Wadley 1999). There are increasing numbers of women with SCI who have healthy babies (Cross et al. 1992). However, during labour and delivery, susceptible women with SCI are at high risk of developing uncontrolled AD (Sipski 1991; Sipski & Arenas 2006). Recognition and prevention of this life threatening emergency is critical for managing labour in women with SCI (McGregor & Meeuwsen 1985). The majority of women with SCI above T10 experience uterine contractions as only abdominal discomfort, an increase in spasticity and AD (Hughes et al. 1991).