Can a pregnant woman with scoliosis give birth vaginally?

Hello doctor,

I am 26 weeks pregnant and will give birth in a few months. Yesterday I told my gynecologist that I have scoliosis and asked if this could cause me any problems for a vaginal delivery. She said that if I do not have any recent X-rays, nobody will be able to answer this question because I cannot do X-rays right now, and even if an orthopedic doctor should see me now, my back is all changed now anyway due to the pregnancy. I had my last X-ray 10 years ago, and I believe my scoliosis condition has remained stable.

So, I wanted to ask if scoliosis is a problem for a natural birth or not. Mine is around 30 degrees and not operated because it was not severe enough to be operated on and cured during my teenage years with scoliosis braces.

Also, the gynecologist told me that the baby is growing bigger than it should (I am like two weeks ahead for its weight), so if the baby turns out to be big or more than 7.7 pounds, will the situation of scoliosis or vaginal birth be even more complicated or will the weight not affect the birth?

Please help.

Thanks.

Hello doctor,

Thanks for the reply.

Please see the two attached X-ray scans (attachments removed to protect the patient’s identity):

Spine with scoliotic "S" deviation: right-convex of the dorsal and left-convex of the lumbar region. Physiological curvatures are normal and rotation of the pelvis is clockwise because of limb asymmetry, with the acetabular roof profiles differing by about six millimeters.

Please advise in regards to the birth, and please also let me know if it seems like severe, moderate, or light scoliosis.

Thank you.